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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MEDISOURCE PHARMACY LLC

Active Organization

MEDISOURCE PHARMACY LLC is a Specialty Pharmacy organization located in PLAINVIEW, New York. NPI 1215197991 is currently active in the NPPES registry. Verify at CMS.

Specialty Pharmacy · PLAINVIEW, NY

Registration Details

NPI Number
1215197991
Provider Type
Organization
NPI Issued
Jun 16, 2008 (18.178145785286 yrs)
Last Updated
Jan 27, 2026
License
028939 (NY)

Practice Information

Address
720 OLD COUNTRY RD
PLAINVIEW, NY, 118034929
Browse NY providers · Browse ZIP 11803
Phone
5166050080
Fax
5166050077
Primary Specialty
Specialty Pharmacy
3336S0011X
Additional Specialty
Specialty Pharmacy

Other Specialty Pharmacy Organizations in PLAINVIEW, NY

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.