Broadway Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1040000005 Issued in CO

Legal business name

BROADWAY PHARMACY INC.

Practice address

101 Colorado Ave
Pueblo, CO 81004-4213

Phone

(719) 545-0430

Fax

(719) 562-8936

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Eric Yoxey, RPHNPI 1164370672

Title

Manager

Phone

(719) 545-0430

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Yoxey, RPH

  • Pharmacist
  • Pueblo, CO
  • NPI 1164370672
  NPD Authorized official
• Ronald Gerard Yoxey, PHARM D

  • Pharmacist
  • Pueblo, CO
  • NPI 1326815077
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1902945587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COLORADO AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810044213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COLORADO AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810044213",
            "telephone_number": "719-545-0430",
            "fax_number": "719-562-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "YOXEY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "719-545-0430",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "1040000005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0605569",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03118007",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Briggs
• Holly Brimberry
• Emma Ann Brinker, PA
• Evelyn Britton
• Broadway Pharmacy Inc.
• Julie Larson Broberg, RPH
• Frances Brodin
• Alexandra Bromley
• Theodora J. Bronken, M.A., CCC-A
• Brookdale Senior Living Communities, Inc.

• Community/Retail Pharmacy in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Community/Retail Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.