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

One Source Pharmacy Services Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1750482980

One Source Pharmacy Services Inc is a Durable Medical Equipment & Medical Supplies in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
5
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

4480 Broadway
New York, NY 10040-2606
Phone: (212) 567-3384
Fax: (212) 567-9643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 024844 (NY)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 024844 (NY)
Compounding Pharmacy Taxonomy 3336C0004X · Licence 024844 (NY)
Home Infusion Therapy Pharmacy Taxonomy 3336H0001X · Licence 024844 (NY)
Specialty Pharmacy Taxonomy 3336S0011X · Licence 024844 (NY)

Record details

NPI number1750482980
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Prital Shukla — President · (212) 567-3384
Other names Fairview Pharmacy
NPI enumeratedSeptember 26, 2006
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025
Mailing address4480 Broadway, New York, NY 10040-2606

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