Broadmoor Charter School Board

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

BROADMOOR CHARTER SCHOOL BOARD

Doing business as

Andrew H Wilson Charter School

Practice address

3617 General Pershing St
New Orleans, LA 70125-4530

Phone

(504) 373-6274

NPI assigned

Sep 8, 2011

Last updated

Sep 8, 2011By 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. Darius A Munchak

Title

Operations Manager

Phone

(504) 373-6274

Specialties & licenses 1

Addresses

Other names 1

• Andrew H Wilson Charter School Doing business as

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1801177589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 GENERAL PERSHING ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701254530",
            "telephone_number": "504-373-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 GENERAL PERSHING ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701254530",
            "telephone_number": "504-373-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADMOOR CHARTER SCHOOL BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "MUNCHAK",
        "authorized_official_first_name": "DARIUS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "504-373-6274",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrew H Wilson Charter School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Britni Wilson, a Professional Chiropractic Corporation
• Felicia Brito
• Devin Elise Brittain, RD, LDN
• Broad Avenue Pharmacy LLC
• Broad Avenue Pharmacy LLC (Broad Avenue Pharmacy)
• Broadmoor Improvement Association
• Nora Haney Broadwell, MD, MBA
• Cori M Brock, PHARM.D.
• Iryna Brock
• Logan James Brock, PHARMD

• Local Education Agency (LEA) in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Local Education Agency (LEA) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.