Active NPI
Gatus Enterprise, PLLC
Doing business as Broadway Pharmacy
- Pharmacy
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PH31537
- Legal business name
- GATUS ENTERPRISE, PLLC
- Doing business as
- Broadway Pharmacy
- Practice address
- 22 Broadway
Kissimmee, FL 34741-5408 - Phone
- (407) 750-5999
- Fax
- (407) 750-5002
- NPI assigned
- Jul 17, 2018
- Last updated
- Dec 21, 2018
- 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
- Dr. Joseph K Appiahene, PHARM. D
- Title
- Owner
- Phone
- (407) 750-5999
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PH31537 | FL | Primary |
Addresses
Primary practice location
22 Broadway
Kissimmee, FL 34741-5408
Mailing address
22 Broadway
Kissimmee, FL 34741-5408
Phone (407) 750-5999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH31537 | Other | FL | PHARMACY LICENSE |
Other names 1
- BROADWAY PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200916000345 | FL | Part B Supplier - Mass Immunization (Roster Biller Only) | 8628318441 | Practice locations: Kissimmee, FL |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
22 Broadway
Kissimmee, FL 34741
Phone (407) 750-5999
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
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.
-
- Pharmacist
- Apopka, FL
- NPI 1275096356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545350400000",
"number": "1396221867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 BROADWAY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415408",
"telephone_number": "407-750-5999",
"fax_number": "407-750-5002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 BROADWAY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415408",
"telephone_number": "407-750-5999",
"fax_number": "407-750-5002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATUS ENTERPRISE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-17",
"last_updated": "2018-12-21",
"status": "A",
"authorized_official_last_name": "APPIAHENE",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-750-5999",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM. D"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "FL",
"license": "PH31537",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "PH31537",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BROADWAY PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kissimmee, FL
- Gastro Health, LLC
- Gastroenterology & Hepatology Specialists of Central Florida, LLC
- Gastroenterology Associates of Osceola, P.a.
- Gastroenterology Associates of Osceola, PA
- Tania S Gatti de Saavedra
- Kerry-Ann Eleith Gayle, PHARMD
- July Geffrard, LPN
- Jose F Gelabert
- Yamilis Gelabert
- Daniel Gelbinovich
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.