All Source Plus Corp.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ALL SOURCE PLUS CORP.

Doing business as

All-Source Pharmacy & Surgical

Practice address

9109 63Rd Dr
Rego Park, NY 11374-3849

Phone

(718) 255-6100

NPI assigned

May 5, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Irina NiyazovNPI 1386209781

Title

RPH

Phone

(718) 255-6100

Specialties & licenses 2

Addresses

Other names 1

• All-Source Pharmacy & Surgical Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irina Niyazov

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Rego Park, NY
  • NPI 1386209781
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557014400000",
    "number": "1417512500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9109 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743849",
            "telephone_number": "718-255-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9109 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743849",
            "telephone_number": "718-255-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL SOURCE PLUS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-05",
        "last_updated": "2019-05-05",
        "status": "A",
        "authorized_official_last_name": "NIYAZOV",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "718-255-6100"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All-Source Pharmacy & Surgical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.