RCDC Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00548900 Issued in NJ

Legal business name

RCDC CORP

Doing business as

Broadway Continental Pharmacy

Practice address

7211 Broadway
North Bergen, NJ 07047-5736

Phone

(201) 854-4800

Fax

(201) 854-1518

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Ray Cedeno, RPH

Title

Pharm and Pres

Phone

(201) 854-4800

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BROADWAY CONTINENTAL PHARMACY Doing business as

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1902961337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 BROADWAY",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475736",
            "telephone_number": "201-854-4800",
            "fax_number": "201-854-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 BROADWAY",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475736",
            "telephone_number": "201-854-4800",
            "fax_number": "201-854-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RCDC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "CEDENO",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "PHARM AND PRES",
        "authorized_official_telephone_number": "201-854-4800",
        "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": "NJ",
            "license": "28RS00548900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7816006",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3136074",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROADWAY CONTINENTAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Mark Raskin, M.D.
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• Shivani Raval, PHARMD
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• Samuel Luis Reveron, PHARMD

• Community/Retail Pharmacy in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.