Health Source Plus Pharmacy, Llc.
LBN: Health Source Plus Pharmacy, Llc.
Health Source Plus Pharmacy, Llc. is an health care organization with primary practice located at 11807 Metropolitan Ave , Kew Gardens NY 11415-2020. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Health Source Plus Pharmacy, Llc. can be contacted via phone (718) 849-6700, or through Kalontar, Emma via phone (718) 849-6700.
Contact Information
Primary practice address
11807 Metropolitan Ave
Kew Gardens NY 11415-2020
Phone: (718) 849-6700
Fax: (718) 849-1659
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 029701 | New York |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 029701 | New York |
| Suppliers / Specialty Pharmacy | 3336S0011X | 029701 | New York |
Profile Details
| NPI number | 1710117908 |
|---|---|
| LBN Legal business name | Health Source Plus Pharmacy, Llc. |
| DBA Doing business as | |
| Authorized official | Kalontar, Emma |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 22nd, 2009 |
| Last updated | Mar 29th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710117908 | NPPES |
| New York | MEDICAID | 3123053 | |
| New York | Other | 2122230 |
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