Broadway RX Enterprises Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

BROADWAY RX ENTERPRISES INC

Practice address

3489 Broadway
New York, NY 10031

Phone

(212) 926-9200

Fax

(212) 926-9204

NPI assigned

Mar 24, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Josmary Cardenas

Title

President

Phone

(212) 926-9200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1376074005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3489 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10031",
            "fax_number": "212-926-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3489 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10031",
            "telephone_number": "212-926-9200",
            "fax_number": "212-926-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY RX ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "CARDENAS",
        "authorized_official_first_name": "JOSMARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-926-9200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Broadway I Medicine PLLC
• Broadway Manhattan Medical Office, PC
• Broadway Pediatrics M.D.P.C.
• Broadway Pharmacy III Inc
• Broadway Pharmacy Nyc Inc
• Broadway Vision 135 Inc
• Broadway Vision Center Inc.
• Broadway Vision Group Inc
• Broadway Vision Inc
• Dallas Broadway, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.