Broad-Ridge Drug,Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60005393A Issued in IN

Legal business name

BROAD-RIDGE DRUG,INC

Practice address

3776 Broadway
Gary, IN 46408-2203

Phone

(219) 884-4445

Fax

(219) 884-4480

NPI assigned

Feb 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Chukwudi L. Onwuka, MS,RPHNPI 1538374061

Title

President

Phone

(219) 884-4445

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chukwudi L Onwuka, RPH

  • Pharmacist
  • Gary, IN
  • NPI 1538374061
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073654687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3776 BROADWAY",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464082203",
            "telephone_number": "219-884-4445",
            "fax_number": "219-884-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3776 BROADWAY",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464082203",
            "telephone_number": "219-884-4445",
            "fax_number": "219-884-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROAD-RIDGE DRUG,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ONWUKA",
        "authorized_official_first_name": "CHUKWUDI",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-884-4445",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS,RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60005393A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Gary, IN
• Providers in Gary, IN by specialty
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.