Organization Active NPI

Broadway Downtown Pharmacy Inc.

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1891896213
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022384 Issued in NY
Legal business name
BROADWAY DOWNTOWN PHARMACY INC.
Practice address
373 Broadway
New York, NY 10013-3926
Phone
(212) 925-4888
Fax
(212) 925-4917
NPI assigned
Sep 26, 2006
Last updated
Feb 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Authorized official

Name
Mrs. Loretta ChanNPI 1720301245
Title
President
Phone
(212) 925-4888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 022384 NY Primary

Addresses

Primary practice location

373 Broadway
New York, NY 10013-3926

Mailing address

373 Broadway
New York, NY 10013-3926
Phone (212) 925-4888

Other identifiers 1

IdentifierTypeStateIssuer
01539697MedicaidNY

National Provider Directory

National Provider Directory

Locations

373 Broadway
New York, NY 10013
Phone (212) 925-4888

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1891896213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133926",
            "telephone_number": "212-925-4888",
            "fax_number": "212-925-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133926",
            "telephone_number": "212-925-4888",
            "fax_number": "212-925-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY DOWNTOWN PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-925-4888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "022384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01539697",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.