OrganizationActiveAccepts Medicare
One Source Pharmacy Corp
NPI 1477067742 · Community/Retail Pharmacy · Astoria, NY
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1477067742
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Karim Khatib, Owner(718) 721-5900
- License
- 035660 (NY)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
2590 Steinway St
Astoria, NY 11103-3768
Phone: (718) 721-5900
Street-level locationGet directions
Mailing address
2590 Steinway St
Astoria, NY 11103-3768
Registry dates
- Enumerated
- 2017-11-25
- Last updated
- 2024-07-15
- Certified
- 2024-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.