Town Drug at Broadway Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

TOWN DRUG AT BROADWAY INC

Practice address

4764 Broadway
New York, NY 10034-4916

Phone

(212) 304-9582

Fax

(212) 304-9713

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Salvatore Pagano, RPHNPI 1447375969

Title

VP

Phone

(212) 304-9582

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Town Drug at Broadway Inc

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1134140106

  O20100930079224

  Same enrollment

Locations

Practitioners 1

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

• Salvatore A Pagano, R.PH.

  • Pharmacist
  • New York, NY
  • NPI 1447375969
  NPD Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1720168420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4785 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10034",
            "telephone_number": "212-304-9582",
            "fax_number": "212-304-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4764 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100344916",
            "telephone_number": "212-304-9582",
            "fax_number": "212-304-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN DRUG AT BROADWAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "PAGANO",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "212-304-9582",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01622302",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Marie Towers, FNP
• Jessica Lea Towery, L. AC
• Amir Allen Towfigh, MD
• Linda A. Towle, LCSW
• Town Drug at Broadway Inc
• Town Optical
• Town Total Nutrition Inc
• Sara Blythe Towne
• Denise Townes, RN
• Townhomehealth

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.