All-Source Corp
All-Source Corp is a Military/U.S. Coast Guard Pharmacy in Rego Park, New York. Licensed in New York. Registered with an NPI since 2012.
- Licensed in
- NY
- In the registry since
- 2012
- Specialties on file
- 10
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9109 63rd DrRego Park, NY 11374-3849
Phone: (718) 255-6100
Fax: (718) 255-6104
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 031371 (NY) |
|---|---|
| Military/U.S. Coast Guard Pharmacy | Taxonomy 332000000X |
| Department of Veterans Affairs (VA) Pharmacy | Taxonomy 332100000X |
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
| Parenteral & Enteral Nutrition Supplies (DME) | Taxonomy 332BP3500X |
| Pharmacy | Taxonomy 333600000X |
| Compounding Pharmacy | Taxonomy 3336C0004X |
| Mail Order Pharmacy | Taxonomy 3336M0002X |
| Managed Care Organization Pharmacy | Taxonomy 3336M0003X |
| Specialty Pharmacy | Taxonomy 3336S0011X |
Record details
| NPI number | 1013272095 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Peter Nyazov — President · (718) 255-6100 |
| Other names | All-Source Pharmacy & Surgical |
| NPI enumerated | July 6, 2012 |
| Last updated in NPPES | September 19, 2025 |
| Mailing address | 9109 63rd Dr, Rego Park, NY 11374-3849 |