Broadalbin Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

020051 Issued in NY

Legal business name

BROADALBIN PHARMACY INC

Practice address

6 N Main St
Broadalbin, NY 12025

Phone

(518) 883-8333

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael B Julius

Title

President

Phone

(518) 883-3333

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1164633558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "BROADALBIN",
            "state": "NY",
            "postal_code": "120250249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 N MAIN ST",
            "city": "BROADALBIN",
            "state": "NY",
            "postal_code": "12025",
            "telephone_number": "518-883-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADALBIN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "JULIUS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-883-3333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "020051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01104489",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen M Alric, MA, CCC, SLP
• Anderson Chiropractic PC
• Philip Jospeh Bechard
• Jeremiah Michael Benoit, M.D.
• Sarah K Beyer, PA
• Broadalbin Volunteer Ambulance Corp, Inc
• Broadalbin-Perth Central School District
• Carondelet Regional Medical, PC
• Carondelet Regional Medical, PC
• Susan Casler, C.S F.N.P

• All providers in Broadalbin, NY
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.