OrganizationActive
All-Source Corp
NPI 1013272095 · Community/Retail Pharmacy · Rego Park, NY
Provider details
- NPI number
- 1013272095
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Peter Nyazov, President(718) 255-6100
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Mail Order Pharmacy3336M0002X
Suppliers
- Managed Care Organization Pharmacy3336M0003X
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
- Pharmacy333600000X
Suppliers
- Military/U.S. Coast Guard Pharmacy332000000X
Suppliers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9109 63rd Dr
Rego Park, NY 11374-3849
Phone: (718) 255-6100
Fax: (718) 255-6104
Street-level locationGet directions
Mailing address
9109 63rd Dr
Rego Park, NY 11374-3849
Other names (DBA / former)
- Doing business as
- All-Source Pharmacy & Surgical
Registry dates
- Enumerated
- 2012-07-06
- Last updated
- 2025-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.