Medisource Pharmacy Llc
Specialty Pharmacy
720 Old Country Rd, Plainview
New York, 11803-4929
516-605-0080 516-605-0077
Medisource Pharmacy Llc is a Specialty 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 Specialty Pharmacy in New York.
Medisource Pharmacy Llc is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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: | Specialty 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 Jan, 2026 |
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 | |
| Specialty Pharmacy | 028939 | New York | Primary | |
| Community/Retail 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 |
| 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.