NPIMap

Organization Active NPI

Broadway Clinic Pharmacy Inc

  • Community/Retail Pharmacy
  • Lexington, KY
National Provider Identifier
1255620464
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07419 Issued in KY
Legal business name
BROADWAY CLINIC PHARMACY INC
Doing business as
MEDICINE CABINET PHARMACY
Practice address
698 E New Circle Rd
Lexington, KY 40505-2948
Phone
(859) 225-3784
Fax
(859) 381-0277
NPI assigned
Mar 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Authorized official

Name
Steve Williams
Title
President
Phone
(859) 225-3784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P07419 KY Primary

Addresses

Primary practice location

698 E New Circle Rd
Lexington, KY 40505-2948

Mailing address

698 E New Circle Rd
Lexington, KY 40505-2948
Phone (859) 225-3784

Other identifiers 1

IdentifierTypeStateIssuer
1832357OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MEDICINE CABINET PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Broadway Clinic Pharmacy Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

698 E New Circle Rd
Lexington, KY 40505
Phone (859) 225-3784

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1255620464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 E NEW CIRCLE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405052948",
            "telephone_number": "859-225-3784",
            "fax_number": "859-381-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 E NEW CIRCLE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405052948",
            "telephone_number": "859-225-3784",
            "fax_number": "859-381-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY CLINIC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-225-3784"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1832357",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE CABINET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.