Healthsource Pharmacy Inc is an authorized DME supplier for medicare equipments and products.
Healthsource Pharmacy Inc is a Community/Retail Pharmacy in New York, New York. It is located at 1296 2nd Ave, New York and it's customer support contact number is 212-794-8700. The authorized person of Healthsource Pharmacy Inc is Boris Niyazov who is President of the pharmacy and his contact number is 212-794-8700. Active license number of Healthsource Pharmacy Inc is 025135 for Community/Retail Pharmacy in New York. Healthsource Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Healthsource Pharmacy Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Healthsource Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Healthsource Pharmacy Inc
Type:
Community/Retail Pharmacy
Location:
1296 2nd Ave, New York, New York, 10065-5707
Phone:
212-794-8700
Fax:
212-794-4979
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Boris Niyazov
Position:
President
Contact Number:
212-794-8700
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1770695876
NPI Enumeration Date:
31 Aug, 2006
NPI Last Update On:
27 Apr, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Healthsource Pharmacy Inc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
025135
New York
Primary
Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
02182694
Medicaid
New York
2063440
Other
Pk
Medicare Enrollment:
Healthsource Pharmacy Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
7719190313
O20100930068889
Healthsource Pharmacy, Inc.
DME SUPPLIER - PHARMACY
7719190313
O20110105000735
Healthsource Pharmacy, Inc.
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Products Available:
Healthsource Pharmacy Inc has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Canes & Crutches
Commodes, Urinals, & Bedpans
Diabetic Shoes & Inserts: Prefabricated
Enteral Equipment And/or Supplies
Enteral Nutrients
Heat & Cold Applications
Hospital Beds: Manual
Nebulizer Equipment & Supplies
Ostomy Supplies
Parenteral Nutrients
Power Operated Vehicles (scooters)
Seat Lift Mechanisms
Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads
Surgical Dressings
Tracheostomy Supplies
Traction Equipment
Transcutaneous Electrical Nerve Stimulators (tens) Units
Ultraviolet Light Devices
Urological Supplies
Walkers
Wheelchair Seating/cushions
Wheelchairs & Accessories: Standard Manual
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1302 2nd Ave, New York, New York
Zip:
10065-5706
Phone Number:
212-794-8700
Fax Number:
212-794-4979
Patients can reach Healthsource Pharmacy Inc at 1296 2nd Ave, New York, New York or can call on customer care at 212-794-8700.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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