Organization Active NPI

Broadway Pharmacy Inc

Doing business as Wyckoff Drugs

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1285676064
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
025404 Issued in NY
Legal business name
BROADWAY PHARMACY INC
Doing business as
Wyckoff Drugs
Practice address
1226 Broadway
Brooklyn, NY 11221-2906
Phone
(718) 443-1331
Fax
(718) 443-9438
NPI assigned
Jun 13, 2006
Last updated
Jan 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Olga Xanthopoulos, DIRECTOR
Title
Manager
Phone
(718) 431-3311

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 025404 NY Primary

Addresses

Primary practice location

1226 Broadway
Brooklyn, NY 11221-2906

Mailing address

1226 Broadway
Brooklyn, NY 11221-2906
Phone (718) 443-1331

Other identifiers 2

IdentifierTypeStateIssuer
02269616MedicaidNY
2061851OtherPK

Other names 1

  • WYCKOFF DRUGS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930061003 NY DME Supplier - Pharmacy 7214141225 Practice locations: Brooklyn, NY
O20251223003270 NY Part B Supplier - Pharmacy 7214141225 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Broadway Pharmacy Inc1226 Broadway, Brooklyn, NY 11221-2906(718) 443-1331 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Orthoses: Off-The-Shelf|Surgical Dressings Accepts assignmentParticipating since Jan 1, 2026

National Provider Directory

National Provider Directory

Locations

1226 Broadway
Brooklyn, NY 11221
Phone (718) 443-1331

1236 Broadway
Brooklyn, NY 11221
Phone (718) 443-1331

Practitioners & affiliated clinicians

Practitioners 2

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": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1285676064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112212906",
            "telephone_number": "718-443-1331",
            "fax_number": "718-443-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112212906",
            "telephone_number": "718-443-1331",
            "fax_number": "718-443-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "XANTHOPOULOS",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-431-3311",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02269616",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2061851",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WYCKOFF DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.