Organization Active NPI

Broad & Lehigh Pharmacy, Inc

  • Community/Retail Pharmacy
  • Philadelphia, PA
National Provider Identifier
1720082340
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BROAD & LEHIGH PHARMACY, INC
Practice address
2031 E Lehigh Ave
Suite 2G-1
Philadelphia, PA 19125
Phone
(267) 489-1082
Fax
(267) 447-8779
NPI assigned
Jun 10, 2005
Last updated
Jul 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Ms. Cynthia Ntefo
Title
President
Phone
(215) 228-9007

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PP415177L PA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2031 E Lehigh Ave
Suite 2G-1
Philadelphia, PA 19125

Mailing address

2031 E Lehigh Ave
Suite 2G-1
Philadelphia, PA 19125
Phone (267) 489-1082

Other identifiers 2

IdentifierTypeStateIssuer
001587523003MedicaidPA
0015875230001MedicaidPA

National Provider Directory

National Provider Directory

Locations

1300 W Lehigh Ave
Ste 102
Philadelphia, PA 19132
Phone (215) 228-9007

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": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1720082340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 E LEHIGH AVE",
            "address_2": "SUITE 2G-1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19125",
            "telephone_number": "267-489-1082",
            "fax_number": "267-447-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 E LEHIGH AVE",
            "address_2": "SUITE 2G-1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19125",
            "telephone_number": "267-489-1082",
            "fax_number": "267-447-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROAD & LEHIGH PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "NTEFO",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-228-9007",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "PP415177L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001587523003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015875230001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.