Medisource Pharmacy Llc is not a DME supplier for medicare equipments and products.
Medisource Pharmacy Llc is a Community/Retail Pharmacy in Plainview, New York. It is located at 720 Old Country Rd, Plainview and it's customer support contact number is 516-605-0080. The authorized person of Medisource Pharmacy Llc is Roza Davidov who is Owner of the pharmacy and his contact number is 516-615-2974. Active license number of Medisource Pharmacy Llc is 028939 for Community/Retail Pharmacy in New York. Medisource Pharmacy Llc 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:
Medisource Pharmacy Llc 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:
Medisource Pharmacy Llc
Type:
Community/Retail Pharmacy
Location:
720 Old Country Rd, Plainview, New York, 11803-4929
Phone:
516-605-0080
Fax:
516-605-0077
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:
Roza Davidov
Position:
Owner
Contact Number:
516-615-2974
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:
1215197991
NPI Enumeration Date:
16 Jun, 2008
NPI Last Update On:
27 Jun, 2025
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Medisource Pharmacy Llc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
028939
New York
Primary
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
3016644
Medicaid
New York
2070643
Other
Pk
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
720 Old Country Rd, Plainview, New York
Zip:
11803-4929
Phone Number:
516-605-0080
Fax Number:
516-605-0077
Patients can reach Medisource Pharmacy Llc at 720 Old Country Rd, Plainview, New York or can call on customer care at 516-605-0080.
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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