One Source Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

035660 Issued in NY

Legal business name

ONE SOURCE PHARMACY CORP

Practice address

2590 Steinway St
Astoria, NY 11103-3768

Phone

(718) 721-5900

NPI assigned

Nov 25, 2017

Organization subpart

No

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

Authorized official

Name

Karim KhatibNPI 1730715350

Title

Owner

Phone

(718) 721-5900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

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

• Karim H Khatib

  • Pharmacist
  • Yonkers, NY
  • NPI 1730715350
  NPD Authorized official

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

{
    "created_epoch": "1511568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1477067742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033768",
            "telephone_number": "718-721-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033768",
            "telephone_number": "718-721-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE SOURCE PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-25",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "KHATIB",
        "authorized_official_first_name": "KARIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-721-5900"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sun Yi Ongg, M.D.
• Aung Khine Oo, M.D
• Zaw Min Oo, MD
• Clara Opara, MSW
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• Community/Retail Pharmacy in Astoria, NY
• Providers in Astoria, 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 Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.