Medisource Pharmacy LLC
About this NPIWhat this record shows.
NPI 1215197991 is registered to Medisource Pharmacy LLC, a healthcare organisation classified as "Specialty Pharmacy" and located at 720 Old Country Rd in Plainview, New York. The organisation's authorised official is Roza Davidov. The organisation has been enumerated in the NPI registry since 2008.
Your brand here.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Medicaid
- 3016644NY
Other
- 2070643· Issued by PK
Source: NPPES public registry.
Medicare enrollment
This provider holds 3 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Part B Supplier
- O20210209000738Mass Immunization (Roster Biller Only)NY
- O20260129002031PharmacyNY
DME Supplier
- O20100930059728PharmacyNY
Source: CMS PECOS public enrollment file.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Medisource Pharmacy LLC accepts. To confirm in-network status with your specific health plan, contact Medisource Pharmacy LLC directly at (516) 605-0080.
Frequently asked
Yes. NPI 1215197991 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Specialty Pharmacy is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (516) 605-0080.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Medisource Pharmacy LLC is a Type-2 organisational NPI.