5247 Broadway Drugs Inc
Organization Active NPI Community/Retail Pharmacy · Bronx, NY
NPI 1942221908 · NPPES record last updated May 14, 2015
Key facts
- NPI
- 1942221908
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 022921 (NY)
- Legal business name
- 5247 BROADWAY DRUGS INC
- Practice address
- 5203A Broadway
Bronx, NY 10463-7636 - Phone
- (718) 562-6637
- Fax
- (718) 562-5031
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Ashok Barvalia
- Title
- President,Ao
- Phone
- (718) 562-6637
Practitioners 3
-
Ashok L Barvalia, RPH.
-
Vijay J. Paghdal, RPH., PHARMD.
-
Kaushlendrakumar M Vekaria, PHARM.D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| 5247 Broadway Drugs Inc |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Ostomy Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Nebulizer Equipmen… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930082551 | NY | DME Supplier - Pharmacy | 1951510957 | Practice locations: Bronx, NY |
| O20210209001593 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 1951510957 | Practice locations: Bronx, NY |
National Provider Directory
Locations
5203A Broadway
Bronx, NY 10463
Phone (718) 562-6637
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 022921 | NY | Yes |
Addresses
Primary practice location
5203A Broadway
Bronx, NY 10463-7636
Mailing address
5203A Broadway
Bronx, NY 10463-7636
Phone (718) 562-6637
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2060694 | Other | PK | |
| 01639367 | Medicaid | NY |
Other names
- DRUG MART
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.