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

Healthsource Pharmacy Inc

Organization Long Term Care Pharmacy · NPI 1679318125

Healthsource Pharmacy Inc is a Long Term Care Pharmacy in New York, New York. Registered with an NPI since 2024.

In the registry since
2024
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

1296 2nd Ave
New York, NY 10065-5707
Phone: (212) 794-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X

Record details

NPI number1679318125
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHealthsource Pharmacy Inc
Authorized official Boris Niyazov — President · (212) 794-8700
Other names Healthsource Pharmacy
NPI enumeratedJune 26, 2024
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024
Mailing address1296 2nd Ave, New York, NY 10065-5707

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