Health Source Plus Pharmacy, LLC.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029701 Issued in NY

Legal business name

HEALTH SOURCE PLUS PHARMACY, LLC.

Practice address

11807 Metropolitan Ave
Kew Gardens, NY 11415-2020

Phone

(718) 849-6700

Fax

(718) 849-1659

NPI assigned

Jul 22, 2009

Organization subpart

No

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

Authorized official

Name

Emma KalontarNPI 1346427465

Title

Pharmacist

Phone

(718) 849-6700

Specialties & licenses 3

Addresses

Other identifiers 2

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Health Source Plus Pharmacy, LLC.

  • Long Term Care Pharmacy
  • Kew Gardens, NY
  • NPI 1447069331
  NPPES parent name

Practitioners 1

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

• Emma Kalontar, PHARM.D.

  • Pharmacist
  • Kew Gardens, NY
  • NPI 1346427465
  NPD Authorized official

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1710117908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11807 METROPOLITAN AVE",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152020",
            "telephone_number": "718-849-6700",
            "fax_number": "718-849-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11807 METROPOLITAN AVE",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152020",
            "telephone_number": "718-849-6700",
            "fax_number": "718-849-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SOURCE PLUS PHARMACY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "KALONTAR",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "718-849-6700"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029701",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "029701",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NY",
            "license": "029701",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3123053",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2122230",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Francis Harvey, D.O.
• Wafa Hawamdeh
• HBS Medical Supplies Inc
• Healing Solution Medical Supply Inc
• Health Source Plus Pharmacy, LLC.
• Dolores Viessa Hernandez, RN
• Jessica Hernandez
• Maylen Victoria Herrera Melendez
• Peter Herz, M.D.
• Dianco Lavenski Holder, CASAC

• Community/Retail Pharmacy in Kew Gardens, NY
• Providers in Kew Gardens, 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 Mar 29, 2017; 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.