Broadway Care Pharmacy Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

BROADWAY CARE PHARMACY INC.

Practice address

4106 Broadway
Astoria, NY 11103-3288

Phone

(347) 448-6212

Fax

(347) 448-6067

NPI assigned

May 21, 2025

Organization subpart

No

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

Authorized official

Name

Simkho Badalov

Title

President

Phone

(347) 448-6212

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Urijah Reigne Pimentel

  • Pharmacist
  • Astoria, NY
  • NPI 1033038013
  NPD (past)

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1174315501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 BROADWAY",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033288",
            "telephone_number": "347-448-6212",
            "fax_number": "347-448-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 BROADWAY",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033288",
            "telephone_number": "347-448-6212",
            "fax_number": "347-448-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY CARE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "BADALOV",
        "authorized_official_first_name": "SIMKHO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-448-6212"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgeview RX Inc.
• Bright Land Inc
• Bright Medical PC
• Brightside Adult Center Corp.
• Christian Bulaong Brion, P.T.
• Broadway Drugs Inc
• Alissa Broder, OD
• Brooklyn Nuclear Spect Imaging PC
• Ida Brown, RPA
• Kenneth Brown, R.P.H.

• Pharmacy in Astoria, NY
• Providers in Astoria, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.