HEALTHSOURCE PHARMACY III INC (NPI# 1023023637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023023637 |
| Entity Type | Organization |
| Organization Name | HEALTHSOURCE PHARMACY III INC |
| Practice Address |
235 E 57th St New York NY 10022-2842 |
| Practice Telephone | 2123100111 |
| Practice Fax Number | 2123100144 |
| Mailing Telephone | 2123100111 |
| Mailing Fax Number | 2123100144 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2008-02-25 |
| Authorized Official Name | BORIS NIYAZOV (PRESIDENT) |
| Authorized Official Telephone | 2127948700 |
| Authorized Official Credential | R.PH, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 027524 | NY | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02748745 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3348679 | 01 |
| Street Address |
235 E 57TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10022-2842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097194 | Charlotte Diamond Shron | Dietitian, Registered | 235 E 57th St, New York, NY 10022-2842 | 2020-03-04 |
| 1114297975 | Audiology Services | Clinic/Center | 235 E 57th St, Suite 1a, New York, NY 10022-2842 | 2012-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537931 | Gloria Helena Gomez Arenas | Student in an Organized Health Care Education/Training Program | 220 East 57th Street, Apt 5c, New York, NY 10022 | 2020-10-30 |
| 1629697081 | Mary Kathleen Mcallister | Social Worker | 157 East 57th Street, Apt 7a, New York, NY 10022 | 2020-04-15 |
| 1245878263 | Vishal Patel | Optometrist | Columbia University Laser Vision Center, 880 Third Avenue, New York, NY 10022 | 2019-12-20 |
| 1679116768 | Niteegna Patel | Physical Therapist | 115 East 57th Sreet, Suite 520, New York, NY 10022 | 2019-10-22 |
| 1386298081 | Daniel Tanh, LLC | Community/Behavioral Health | Alma, C/o Daniel Tanh, 515 Madison Avenue, 21st Floor, New York, NY 10022 | 2019-07-31 |
| 1124686548 | Necati Enver | Student in an Organized Health Care Education/Training Program | 880 Third Avenue 3rd Floor, Columbia University Center for Voice and Swallowing, New York, NY 10022 | 2019-05-31 |
| 1134688062 | Queenie K Yeung | Occupational Therapist | 1110 Second Avenue, Suite 302, New York, NY 10022 | 2019-03-19 |
| 1437616968 | Rebekah Wotman | Nurse Practitioner | 121 E 60th Street, Suite 4c, New York, NY 10022 | 2019-02-20 |
| 1972086684 | Steven Kyongmin Kim | Dentist | 209 E 56th St Frnt 1, New York, NY 10022 | 2018-09-09 |
| 1235616186 | Deborah Badran | Doula | 415 East 52st. #2aa, New York, NY 10022 | 2018-07-24 |
| Find all providers in zip 10022 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1083248694 | Madison Apothecary Inc. | Pharmacy | 1114 Madison Avenue, New York, NY 10028 | 2020-02-24 |
| 1407489222 | Valentina's Pharmacy Inc | Pharmacy | 14 W 125th St, New York, NY 10027-4502 | 2020-02-20 |
| 1669005443 | Lenox Chemists Inc | Pharmacy | 422 E 75th St, New York, NY 10021-3432 | 2020-02-19 |
| 1952932360 | Tree Pharmacy Inc | Pharmacy | 2423 Adam Clayton Powell Jr Blvd, New York, NY 10030-1607 | 2020-02-04 |
| 1316583800 | Tlz Drug Corp | Pharmacy | 2518 Adam Clayton Powell Jr Blvd, New York, NY 10039-4102 | 2019-11-20 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.