Broadway Care Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

034541 Issued in NY

Legal business name

BROADWAY CARE INC.

Doing business as

Broadway Pharmacy

Practice address

1538 Pitkin Ave.
Brooklyn, NY 11212

Phone

(718) 495-1122

Fax

(718) 495-0022

NPI assigned

Jan 19, 2016

Last updated

Mar 20, 2024By 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

Noreen Ikram, OWNER

Title

Owner

Phone

(718) 495-1122

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Broadway Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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 5

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.

• Jasmine Nurse, PHARM. D

  • Pharmacist
  • Brooklyn, NY
  • NPI 1720623481
  NPD
• Jason Torjesen, PHARM. D.

  • Pharmacist
  • Brooklyn, NY
  • NPI 1053691865
  NPD
• Candace Lee, PHARMD

  • Pharmacist
  • Bronx, NY
  • NPI 1114564994
  NPD (past)
• Nneoma Chinemenma Nwajuaku

  • Pharmacist
  • Brooklyn, NY
  • NPI 1285417725
  NPD (past)
• Sunny Siew Chuan Syn, O.D.

  • Optometrist
  • Brooklyn, NY
  • NPI 1982647541
  NPD (past)

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1477910610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 PITKIN AVE.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11212",
            "telephone_number": "718-495-1122",
            "fax_number": "718-495-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 PITKIN AVE.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11212",
            "telephone_number": "718-495-1122",
            "fax_number": "718-495-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "IKRAM",
        "authorized_official_first_name": "NOREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-495-1122",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04522538",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160081",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brmi @ 5TH Avenue
• Brmi @ Bensonhurst
• Brmi @ Boro Park
• Brmi @ Midwood
• Brmi @ Sunset Park
• Broadway Dental Arts PC
• Broadway Dental Health Boutique,P.C.
• Broadway Family Dental P.C.
• Broadway Pharmacy Inc (Wyckoff Drugs)
• Broadway RX LLC (Broadway Pharmacy)

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, 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 Mar 20, 2024; 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.