Organization
ONE SOURCE HOMECARE SUPPLIES INC.
Active
Other names
One Source Homecare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAYANT K THAKER R.PH. (PRESIDENT)
(914) 287-2410
Entity
Organization
Contact information
Practice address
285 MAPLE AVE, WHITE PLAINS, NY 10606-2601
(914) 287-2410
(914) 287-2417
Mailing address
PO BOX 72, WHITE PLAINS, NY 10602-0072
(914) 287-2410
(914) 287-2417
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02703060
—
NY
Enumeration date
09/26/2006
Last updated
01/02/2026
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