Cedra Pharmacy Broadway LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

035007 Issued in NY

Legal business name

CEDRA PHARMACY BROADWAY LLC

Doing business as

Cedra Pharmacy

Practice address

2268 Broadway
New York, NY 10024-5403

Phone

(212) 877-5000

Fax

(212) 877-5002

NPI assigned

Oct 28, 2016

Last updated

Oct 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mazen Karnaby

Title

Ceo

Phone

(917) 836-8886

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Cedra Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

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

Locations

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.

• Christina Marie Camera

  • Pharmacist
  • New York, NY
  • NPI 1477056604
  NPD (past)

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1396297024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 ELTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551687",
            "telephone_number": "917-836-8886",
            "fax_number": "212-877-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2268 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245403",
            "telephone_number": "212-877-5000",
            "fax_number": "212-877-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDRA PHARMACY BROADWAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "KARNABY",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-836-8886"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2165971",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedra Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cedra Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynette Cedeno, OTR/L
• Natalie J Cedeno, MD
• Viannette Cedeno
• Bert Cedermark, CRNA
• Andrea Cedillo
• Kalyn Cedrowski
• Susan Barbre Ceely, TSSH, MS
• Frank Cefali, NP
• Wanda Unice Cegers, APRN
• Emily Joanne Ceisler, MD

• Community/Retail Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.