Active NPI
Broad Avenue Pharmacy LLC
- Pharmacist
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5757
- Legal business name
- BROAD AVENUE PHARMACY LLC
- Practice address
- 1400 North Broad Avenue
New Orleans, LA 70119 - Phone
- (504) 309-4388
- Fax
- (504) 309-4389
- NPI assigned
- Mar 15, 2007
- Last updated
- Aug 22, 2020
- 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
- Phat Kim Quach
- Title
- Vice-President and Pharmacist
- Phone
- (504) 231-4796
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5757 | LA | Primary |
Addresses
Primary practice location
1400 North Broad Avenue
New Orleans, LA 70119
Mailing address
1400 North Broad Avenue
New Orleans, LA 70119
Phone (504) 309-4388
National Provider Directory
National Provider Directory- Tax ID family
- Broad Avenue Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
1400 N Broad St
New Orleans, LA 70119
Phone (504) 309-4388
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.
-
- Pharmacist
- New Orleans, LA
- NPI 1861094575
-
- Pharmacist
- New Orleans, LA
- NPI 1477276988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396879003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 NORTH BROAD AVENUE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70119",
"telephone_number": "504-309-4388",
"fax_number": "504-309-4389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 NORTH BROAD AVENUE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70119",
"telephone_number": "504-309-4388",
"fax_number": "504-309-4389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROAD AVENUE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "QUACH",
"authorized_official_first_name": "PHAT",
"authorized_official_middle_name": "KIM",
"authorized_official_title_or_position": "VICE-PRESIDENT AND PHARMACIST",
"authorized_official_telephone_number": "504-231-4796"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "5757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
- Toi Holmes Brister
- Edmund Purcell Bristow, MSW, LSW, LMSW
- Britni Wilson, a Professional Chiropractic Corporation
- Felicia Brito
- Devin Elise Brittain, RD, LDN
- Broad Avenue Pharmacy LLC (Broad Avenue Pharmacy)
- Broadmoor Charter School Board (Andrew H Wilson Charter School)
- Broadmoor Improvement Association
- Nora Haney Broadwell, MD, MBA
- Cori M Brock, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.