NPIMap

Organization Active NPI

Broadway Family Pharmacy PLLC

  • Community/Retail Pharmacy
  • Phoenix, AZ
National Provider Identifier
1467898312
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
Y005639 Issued in AZ
Legal business name
BROADWAY FAMILY PHARMACY PLLC
Doing business as
Broadway Family Pharmacy
Practice address
6006 S Central Ave
Phoenix, AZ 85042-4235
Phone
(602) 276-5485
Fax
(602) 276-0485
NPI assigned
May 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Authorized official

Name
Obinna Akubukwe, PHARM DNPI 1972807998
Title
Pharmacist in Charge, Owner
Phone
(602) 384-0301

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Y005639 AZ Primary

Addresses

Primary practice location

6006 S Central Ave
Phoenix, AZ 85042-4235

Mailing address

16538 W Central St
Surprise, AZ 85388-1183
Phone (602) 384-0301

Other identifiers 2

IdentifierTypeStateIssuer
818252MedicaidAZ
2140402OtherPK

Other names 1

  • Broadway Family Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

6006 S Central Ave
Phoenix, AZ 85042
Phone (602) 276-5485

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1467898312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16538 W CENTRAL ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853881183",
            "telephone_number": "602-384-0301",
            "fax_number": "602-276-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6006 S CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850424235",
            "telephone_number": "602-276-5485",
            "fax_number": "602-276-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY FAMILY PHARMACY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "AKUBUKWE",
        "authorized_official_first_name": "OBINNA",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE, OWNER",
        "authorized_official_telephone_number": "602-384-0301",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y005639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "818252",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140402",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.