Organization Active NPI

Parkviewrx Missouri, LLC

Doing business as BroadwayRx

  • Long Term Care Pharmacy
  • Cape Girardeau, MO
National Provider Identifier
1174453146
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PARKVIEWRX MISSOURI, LLC
Doing business as
BroadwayRx
Practice address
37 Doctors Park Ste 7
Cape Girardeau, MO 63703-4956
Phone
(573) 803-2040
NPI assigned
May 21, 2026
Last updated
May 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Justin WaclawekNPI 1295125714
Title
Coo
Phone
(716) 876-2323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

37 Doctors Park Ste 7
Cape Girardeau, MO 63703-4956

Mailing address

3920 Main St Ste 100
Amherst, NY 14226-3350

Other names 1

  • BroadwayRx Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1174453146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 MAIN ST STE 100",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142263350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 DOCTORS PARK STE 7",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034956",
            "telephone_number": "573-803-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVIEWRX MISSOURI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "WACLAWEK",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "716-876-2323"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BroadwayRx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.