Organization Active NPI

Broadway Drugs Inc

  • Community/Retail Pharmacy
  • Astoria, NY
National Provider Identifier
1881928224
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029696 Issued in NY
Legal business name
BROADWAY DRUGS INC
Doing business as
Broadway Drugs Inc.
Practice address
3408 Broadway
Astoria, NY 11106-1112
Phone
(718) 728-0350
Fax
(718) 728-0384
NPI assigned
Oct 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Hasan Naqvi
Title
President
Phone
(631) 312-7550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 029696 NY Primary

Addresses

Primary practice location

3408 Broadway
Astoria, NY 11106-1112

Mailing address

3408 Broadway
Astoria, NY 11106-1112
Phone (718) 728-0350

Other identifiers 2

IdentifierTypeStateIssuer
2122247OtherPK
3333846MedicaidNY

Other names 1

  • Broadway Drugs Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110415000699 NY DME Supplier - Pharmacy 3678757663 Practice locations: Astoria, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Broadway Drugs Inc3408 Broadway, Astoria, NY 11106-1112(718) 728-0350 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Mar 4, 2011

National Provider Directory

National Provider Directory

Locations

3408 Broadway
Astoria, NY 11106
Phone (718) 728-0350

Practitioners & affiliated clinicians

Practitioners 2

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": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1881928224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 BROADWAY",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111061112",
            "telephone_number": "718-728-0350",
            "fax_number": "718-728-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 BROADWAY",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111061112",
            "telephone_number": "718-728-0350",
            "fax_number": "718-728-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "NAQVI",
        "authorized_official_first_name": "HASAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-312-7550"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2122247",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3333846",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Drugs Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.