Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Healthsource Pharmacy III B Inc

Organization Pharmacy · NPI 1962792176

Healthsource Pharmacy III B Inc is a Pharmacy in New York, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1000 1st Ave At 55th St
New York, NY 10022-4105
Phone: (212) 310-0111
Fax: (212) 310-0144
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 030612 (NY)
Pharmacy Taxonomy 333600000X

Record details

NPI number1962792176
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Boris Niyazov — President · (212) 310-0111
Other names Healthsource Pharmacy
NPI enumeratedApril 10, 2011
Last updated in NPPESFebruary 16, 2017
Mailing address1000 1st Ave, At 55th Street, New York, NY 10022-4105

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