NPIMap

Organization Active NPI

Broadway Clinic Pharmacy Inc

Doing business as Medicine Cabinet Pharmacy

  • Community/Retail Pharmacy
  • Olive Hill, KY
National Provider Identifier
1447480702
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BROADWAY CLINIC PHARMACY INC
Doing business as
Medicine Cabinet Pharmacy
Practice address
230 State Highway 2
Olive Hill, KY 41164-4513
Phone
(606) 286-2035
Fax
(606) 286-0156
NPI assigned
Jul 21, 2009
Last updated
Mar 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Joseph Lee
Title
Owner
Phone
(606) 286-2035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

230 State Highway 2
Olive Hill, KY 41164-4513

Mailing address

230 State Highway 2
Olive Hill, KY 41164-4513
Phone (606) 286-2035

Other identifiers 2

IdentifierTypeStateIssuer
7100620930MedicaidKY
1831381OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MEDICINE CABINET PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Broadway Clinic Pharmacy Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1447480702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 STATE HIGHWAY 2",
            "city": "OLIVE HILL",
            "state": "KY",
            "postal_code": "411644513",
            "telephone_number": "606-286-2035",
            "fax_number": "606-286-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 STATE HIGHWAY 2",
            "city": "OLIVE HILL",
            "state": "KY",
            "postal_code": "411644513",
            "telephone_number": "606-286-2035",
            "fax_number": "606-286-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY CLINIC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-286-2035"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100620930",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1831381",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE CABINET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEDICINE CABINET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olive Hill, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.