Active NPI
Parkviewrx Missouri, LLC
Doing business as BroadwayRx
- Long Term Care Pharmacy
- Cape Girardeau, MO
National Provider Identifier
1174453146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justin Waclawek
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Buffalo, NY
- NPI 1295125714
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.