Organization Active NPI

Siwood Inc

Doing business as broadway pharmacy

  • Pharmacist
  • Burlingame, CA
National Provider Identifier
1780754176
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHY34559 Issued in CA
Legal business name
SIWOOD INC
Doing business as
broadway pharmacy
Practice address
1300 Broadway
Burlingame, CA 94010-3426
Phone
(650) 343-3651
Fax
(650) 343-2733
NPI assigned
Nov 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Sidney K Woo, PHARM.D.
Title
General Manager
Phone
(650) 343-3651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHY34559 CA Primary

Addresses

Primary practice location

1300 Broadway
Burlingame, CA 94010-3426

Mailing address

1300 Broadway
Burlingame, CA 94010-3426
Phone (650) 343-3651

Other identifiers 2

IdentifierTypeStateIssuer
PHA345590MedicaidCA
0591493OtherNCPDP

Other names 1

  • broadway pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1117 Rhinette Ave
Burlingame, CA 94010
Phone (650) 344-7074

1300 Broadway
Burlingame, CA 94010
Phone (650) 343-3651

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780754176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BROADWAY",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103426",
            "telephone_number": "650-343-3651",
            "fax_number": "650-343-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BROADWAY",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103426",
            "telephone_number": "650-343-3651",
            "fax_number": "650-343-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIWOOD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOO",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "650-343-3651",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY34559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA345590",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0591493",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "broadway pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.