Broadway Pharmacy Nyc Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029616 Issued in NY

Legal business name

BROADWAY PHARMACY NYC INC

Doing business as

Broadway Pharmacy NYC Inc

Practice address

4740 Broadway
New York, NY 10040-1032

Phone

(212) 942-1234

Fax

(212) 942-1221

NPI assigned

Aug 4, 2009

Organization subpart

No

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

Authorized official

Name

Naseer Ahmad

Title

Supervising Pharmacist

Phone

(212) 942-1234

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Broadway Pharmacy NYC Inc Doing business as

Locations

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1982835252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401032",
            "telephone_number": "212-942-1234",
            "fax_number": "212-942-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401032",
            "telephone_number": "212-942-1234",
            "fax_number": "212-942-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY PHARMACY NYC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "NASEER",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "212-942-1234"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03167902",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3362112",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Pharmacy NYC Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Broadway GYN Office, P.C
• Broadway I Medicine PLLC
• Broadway Manhattan Medical Office, PC
• Broadway Pediatrics M.D.P.C.
• Broadway Pharmacy III Inc
• Broadway RX Enterprises Inc
• Broadway Vision 135 Inc
• Broadway Vision Center Inc. (Broadway Vision Center)
• Broadway Vision Group Inc
• Broadway Vision Inc

• Community/Retail Pharmacy in New York, NY
• Providers in New York, NY by specialty
• Community/Retail Pharmacy in New York

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