OrganizationActive
Lifesource Plus Inc
NPI 1366714974 · Community/Retail Pharmacy · Elmhurst, NY
Lifesource Plus Inc is a Community/Retail Pharmacy organization in Elmhurst, NY (NPI 1366714974).
Provider details
- NPI number
- 1366714974
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Crystal Wong, President(718) 803-8393
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
8514 Queens Blvd
Elmhurst, NY 11373-4249
Phone: (718) 803-8393
Street-level locationGet directions
Mailing address
8514 Queens Blvd
Elmhurst, NY 11373-4249
Other names (DBA / former)
- Doing business as
- Lifesource Pharmacy
Registry dates
- Enumerated
- 2012-01-30
- Last updated
- 2012-05-04
Frequently asked questions
- What is Lifesource Plus Inc's NPI number?
- Lifesource Plus Inc's National Provider Identifier (NPI) is 1366714974, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifesource Plus Inc?
- Lifesource Plus Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Lifesource Plus Inc located?
- Lifesource Plus Inc's practice location on file with NPPES is 8514 Queens Blvd, Elmhurst, NY 11373-4249.
- What is Lifesource Plus Inc's phone number?
- The practice phone number listed in the NPPES registry for Lifesource Plus Inc is (718) 803-8393.
- Who is the authorized official for Lifesource Plus Inc?
- The authorized official listed on Lifesource Plus Inc's NPPES record is Crystal Wong, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifesource Plus Inc's NPI active?
- Yes — Lifesource Plus Inc's NPI (1366714974) is active in the NPPES registry as of the last update on 2012-05-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.