Organization Active NPI

27 Broadway Drugs Inc

Doing business as Suba Pharmaceutical Pharmacy

  • Community/Retail Pharmacy
  • West Nyack, NY
National Provider Identifier
1467593194
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
27 BROADWAY DRUGS INC
Doing business as
Suba Pharmaceutical Pharmacy
Suba Pharmacy
Practice address
7 Strawtown Rd
West Nyack, NY 10994-1813
Phone
(212) 866-6700
Fax
(212) 866-7129
NPI assigned
Feb 8, 2007
Last updated
Oct 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Bashir Suba, RPHNPI 1134634769
Title
Supervising Pharmacist
Phone
(212) 866-6700

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X NU Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

7 Strawtown Rd
West Nyack, NY 10994-1813

Mailing address

7 Strawtown Rd
West Nyack, NY 10994-1813
Phone (212) 866-6700

Other identifiers 1

IdentifierTypeStateIssuer
2061962OtherPK

Other names 2

  • SUBA PHARMACEUTICAL PHARMACY Doing business as
  • SUBA PHARMACY Doing business as

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1467593194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 STRAWTOWN RD",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941813",
            "telephone_number": "212-866-6700",
            "fax_number": "212-866-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 STRAWTOWN RD",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941813",
            "telephone_number": "212-866-6700",
            "fax_number": "212-866-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "27 BROADWAY DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "SUBA",
        "authorized_official_first_name": "BASHIR",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "212-866-6700",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2061962",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUBA PHARMACEUTICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SUBA PHARMACEUTICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SUBA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.