Home Product East ,Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

025273 Issued in NY

Legal business name

HOME PRODUCT EAST ,INC

Doing business as

Broadway Pharmacy

Practice address

8808 55TH Ave
Elmhurst, NY 11373-4437

Phone

(718) 803-3005

Fax

(718) 803-3346

NPI assigned

Jul 20, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Shan WangNPI 1194907220

Title

President

Phone

(718) 803-3005

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• BROADWAY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

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.

• Shan Wang

  • Pharmacist
  • Elmhurst, NY
  • NPI 1194907220
  NPD Authorized official
• Sau Ying NG

  • Pharmacotherapy Pharmacist
  • Elmhurst, NY
  • NPI 1528380664
  NPD (past)
• Lai-Yi Bella Tsang, RPH

  • Pharmacist
  • Elmhurst, NY
  • NPI 1801118732
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1780604215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8808 55TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734437",
            "telephone_number": "718-803-3005",
            "fax_number": "718-803-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8808 55TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734437",
            "telephone_number": "718-803-3005",
            "fax_number": "718-803-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME PRODUCT EAST ,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "SHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-803-3005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "025273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02244360",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "3324960",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE NUMBER",
            "identifier": "025273",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROADWAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.