One Source Pharmacy Services Inc.
Community/Retail Pharmacy
4480 Broadway, New York
New York, 10040-2606
212-567-3384 212-567-9643
One Source Pharmacy Services Inc. is a Community/Retail Pharmacy in New York, New York. It is located at 4480 Broadway, New York and it's customer support contact number is 212-567-3384. The authorized person of One Source Pharmacy Services Inc. is Prital Sudhir Shukla who is President of the pharmacy and his contact number is 212-567-3384. Active license number of One Source Pharmacy Services Inc. is 024844 for Community/Retail Pharmacy in New York. One Source Pharmacy Services Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
One Source Pharmacy Services 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:
One Source Pharmacy Services 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: | One Source Pharmacy Services Inc. |
| Type: | Community/Retail Pharmacy |
| Location: | 4480 Broadway, New York,
New York, 10040-2606 |
| Phone: | 212-567-3384 |
| Fax: | 212-567-9643 |
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: | Prital Sudhir Shukla |
| Position: | President |
| Contact Number: | 212-567-3384 |
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: | 1750482980 |
| NPI Enumeration Date: | 26 Sep, 2006 |
| NPI Last Update On: | 01 Dec, 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 One Source Pharmacy Services Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 024844 | New York | Primary | |
| Compounding Pharmacy | 024844 | New York | Secondary | |
| Durable Medical Equipment & Medical Supplies | 024844 | New York | Secondary | |
| Specialty Pharmacy | 024844 | New York | Secondary | |
| Home Infusion Therapy Pharmacy | 024844 | New York | 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 |
| 02105493 | Medicaid | New York | |
Medicare Enrollment:
One Source Pharmacy Services 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 |
| 0143332221 | O20100930003336 | One Source Pharmacy Services Inc. | DME SUPPLIER - PHARMACY |
Products Available:
One Source Pharmacy Services Inc. has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Heat & Cold Applications |
| • Nebulizer Equipment & Supplies | • Orthoses: Off-the-shelf |
| • Ostomy Supplies | • Surgical Dressings |
| • 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: | 4480 Broadway,
New York, New York |
| Zip: | 10040-2606 |
| Phone Number: | 212-567-3384 |
| Fax Number: | 212-567-9643 |
Patients can reach One Source Pharmacy Services Inc. at
4480 Broadway, New York, New York or can
call on customer care at 212-567-3384.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.