Broad and Snyder Pharmacy P C

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BROAD AND SNYDER PHARMACY P C

Doing business as

Broad and Snyder Pharmacy

Practice address

2108 S Broad St FL 1
Philadelphia, PA 19145-3905

Phone

(267) 324-3039

Fax

(267) 519-2192

NPI assigned

Feb 11, 2020

Last updated

Feb 11, 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. Kevin LamNPI 1275187197

Title

Pharmacy Manager

Phone

(267) 679-8850

Specialties & licenses 1

Addresses

Other names 1

• Broad and Snyder Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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.

• Kevin Lam, RPH

  • Pharmacist
  • Philadelphia, PA
  • NPI 1275187197
  NPD Authorized official

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1114559713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 S BROAD ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191453905",
            "telephone_number": "267-324-3039",
            "fax_number": "267-519-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 S BROAD ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191453905",
            "telephone_number": "267-324-3039",
            "fax_number": "267-519-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROAD AND SNYDER PHARMACY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "267-679-8850",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broad and Snyder Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hernan R Brizuela, M.D.
• Jenna Lohre Brkich, DPM
• Nicole Brnich, PHARMD
• Broad & Lehigh Pharmacy, Inc
• Broad and Grange Pharmacy
• Broad Health Center Inc.
• Broad St Pharmacy
• Broad Street Braces
• Broad Street Chiropractic & Wellness Center, LLC
• Broad Street Family Pharmacy

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.