Broadway Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

13758 Issued in MD

Legal business name

BROADWAY PHARMACY LLC

Practice address

1645 E Baltimore St
Baltimore, MD 21231-1510

Phone

(410) 563-2500

Fax

(410) 732-8871

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Chukwuma G Okeke, PHARM D

Title

Owner Pharmacist

Phone

(410) 563-2500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821014358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 E BALTIMORE ST",
            "address_2": "PO BOX 88",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212311510",
            "telephone_number": "410-563-2500",
            "fax_number": "410-732-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 E BALTIMORE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212311510",
            "telephone_number": "410-563-2500",
            "fax_number": "410-732-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "CHUKWUMA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "410-563-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MD",
            "license": "13758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "210G210",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaminey Alaiya Broaddus
• Courtney S Broadley, PT, DPT
• Jervon Broadnax
• Qiana M Broadnax
• Miranda Marguerite Broadney, M.D.
• Nora Haney Broadwell, MD, MBA
• Ruth M Brocato, MD
• Chauna Brocht, LCSW-C
• Brock Express Medical Services LLC
• Adrienne Brock

• All providers in Baltimore, MD
• Pharmacy in Maryland

• 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.