Organization · Type 2 NPI

Health Source Plus Pharmacy, Llc.

Long Term Care Pharmacy · Kew Gardens, NY

NPI number 1447069331 Active

Practice location

11807 Metropolitan Ave
Kew Gardens, NY 11415-2020

Specialties and licenses

Taxonomy	Code	License
Long Term Care Pharmacy Primary	3336L0003X	None listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

3 other providers at this address

Other long term care pharmacy providers in Kew Gardens

See all in Kew Gardens →

NPI record

NPI: 1447069331
Entity type: Organization (Type 2)
Issued: Jan 6, 2025
Last updated: Jan 6, 2025
Status: Active
Subpart: Yes of Health Source Plus Pharmacy, Llc.

Other names

Health Source Plus Pharmacy, Long-Term Care · doing business as

Authorized official

Emma Kalontar, PharmD
Pharmacist In Charge
(718) 849-6700

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1447069331

Health Source Plus Pharmacy, Llc.'s National Provider Identifier is 1447069331, issued on Jan 6, 2025. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Kew Gardens, NY. The record was last updated on Jan 6, 2025.