Active NPI
Broad & Lehigh Pharmacy, Inc
- Community/Retail Pharmacy
- Philadelphia, PA
National Provider Identifier
1720082340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001587523003 | Medicaid | PA | |
| 0015875230001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Philadelphia, PA
- NPI 1306480959
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.