PRXP of New York LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

PRXP OF NEW YORK LLC

Doing business as

Broadway Family Pharmacy

Practice address

601 Amsterdam Ave
New York, NY 10024-1810

Phone

(212) 724-1950

Fax

(212) 724-1946

NPI assigned

Jul 6, 2015

Organization subpart

No

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

Authorized official

Name

Chris Wakefield

Title

Corporate Manager

Phone

(412) 477-7803

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• Broadway Family Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Broadway Family Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• PRXP of New York LLC

  dba Broadway Family Pharmacy

  • Pharmacy
  • New York, NY
  • NPI 1306685375
  NPD tax ID

Locations

Practitioners 1

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

• Sylvia Hong

  • Pharmacist
  • New York, NY
  • NPI 1942963681
  NPD (past)

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1508249806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241810",
            "telephone_number": "212-724-1950",
            "fax_number": "212-724-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241810",
            "telephone_number": "212-724-1950",
            "fax_number": "212-724-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRXP OF NEW YORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-06",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "WAKEFIELD",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CORPORATE MANAGER",
        "authorized_official_telephone_number": "412-477-7803"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RO00136100",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCN.0003095",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "033838",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153018",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0531928",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04227134",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Broadway Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason S. Pruzansky, M.D.
• Mark E Pruzansky, MD
• Sheila Erlich Pruzansky, MA PHD
• Prudence Ashely Pruznak, RN
• PRXP of New York LLC (Broadway Family Pharmacy)
• Dena Prybutok, L.C.S.W.
• Michelle Pryce-Screen
• Patrice Alexious Pryce, MD
• Shaneke Pryce
• Teneille Pryce

• Specialty Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Specialty Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.