Organization Active NPI

Broadway RX Inc

Doing business as Broadway Health Pharmacy

  • Long Term Care Pharmacy
  • Bayonne, NJ
National Provider Identifier
1588569172
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BROADWAY RX INC
Doing business as
Broadway Health Pharmacy
Practice address
974 Broadway
Bayonne, NJ 07002-4054
Phone
(201) 471-2400
Fax
(201) 471-2411
NPI assigned
Oct 13, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Authorized official

Name
Ashraf Ashamalla, R.PH.
Title
President
Phone
(201) 471-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

974 Broadway
Bayonne, NJ 07002-4054

Mailing address

974 Broadway
Bayonne, NJ 07002-4054
Phone (201) 471-2400

Other identifiers 1

IdentifierTypeStateIssuer
28RS00756300OtherNJSTATE LICENSE

Other names 1

  • Broadway Health Pharmacy Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1588569172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024054",
            "telephone_number": "201-471-2400",
            "fax_number": "201-471-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024054",
            "telephone_number": "201-471-2400",
            "fax_number": "201-471-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "ASHAMALLA",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-471-2400",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "28RS00756300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.