BROAD AVENUE PHARMACY LLC


Address: 2329 Broad Ave, Altoona, PA 16601-1979
Phone: 8149431310

BROAD AVENUE PHARMACY LLC (NPI# 1184661589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184661589
Entity Type Organization
Organization Name BROAD AVENUE PHARMACY LLC
Other Organization Name THOMPSON PHARMACY
Practice Address 2329 Broad Ave
Altoona
PA 16601-1979
Practice Telephone 8149431310
Practice Fax Number 8149432841
Mailing Telephone 8149431310
Mailing Fax Number 8149432841
Enumeration Date 2006-06-02
Last Update Date 2016-04-14
Authorized Official Name WILLIAM THOMPSON (PRESIDENT)
Authorized Official Telephone 8149446139
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PP410249L PA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PA 0019655640001 05
PK 2086603 01

Other Provider/Organization Names

Other Name Type Code
Thompson Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1669948162 Broad Avenue Pharmacy LLC Pharmacy 1400 N Broad St, New Orleans, LA 70119-2332 2018-10-23
1396879003 Broad Avenue Pharmacy LLC Pharmacist 1400 North Broad Avenue, New Orleans, LA 70119 2007-03-15

Office Location

Street Address 2329 BROAD AVE
City ALTOONA
State PA
Zip Code 16601-1979

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306057781 Peter Albert Kreckel Pharmacist 2329 Broad Ave, Altoona, PA 16601 2007-05-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205456498 Divya Venkata Tumuluru Student in an Organized Health Care Education/Training Program 501 Howard Avenue-suite F2 Altoona Family Physicians, Altoona, PA 16601 2020-04-17
1114574787 Neil Pietrolungo Counselor 1216 11th Avenue, St. 215, Altoona, PA 16601 2019-08-19
1326509621 Lucas L Warton Student in an Organized Health Care Education/Training Program Altoona Family Physicians, 501 Howard Ave, Ste F2, Altoona, PA 16601 2019-03-28
1669932141 Edmiston Physical Therapy Co Physical Therapist 2927 Beale Ave. Suite E101, Altoona, PA 16601 2019-03-21
1871052407 Ji Won Lee Student in an Organized Health Care Education/Training Program 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 2019-03-13
1982199774 Shikha Salhotra Student in an Organized Health Care Education/Training Program 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 2018-06-25
1679063655 Sarah Ann Bier Registered Nurse 2900 Plank Rd, Altoona, PA 16601 2018-05-15
1306334073 Mohammad Omar Bukhari Student in an Organized Health Care Education/Training Program Altoona Family Physicians 501 Howard Avenue, Suite F2, Altoona, PA 16601 2018-04-27
1730676164 Kathleen Elizabeth Woods Student in an Organized Health Care Education/Training Program 501 Howard Avenue Suite F2, Altoona Family Physicians, Altoona, PA 16601 2018-04-20
1386082485 Zachary Charles Haulman Physical Medicine & Rehabilitation 2900 Beale Ave Ste 110, Altoona, PA 16601 2013-06-11
Find all providers in zip 16601

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558683193 Giant Food Stores, LLC Pharmacy 1000 Logan Blvd, Suite 108, Altoona, PA 16602-4028 2010-02-24
1881812857 Klein Drug Shoppe, Inc Pharmacy 87490 Us Highway 278, Altoona, AL 35952 2007-04-23
1811084031 Altoona Union Avenue Pharmacy Pharmacy 2411 8th Ave, Altoona, PA 16602-2105 2006-10-09
1679676423 Pennsylvania Cvs Pharmacy LLC Pharmacy 200 E Plank Rd, Altoona, PA 16602-4110 2006-09-07
1740395771 Iowa Family Pharmacy Inc Pharmacy 325 8th St Se, Altoona, IA 50009 2006-08-20
1255346177 Giant Eagle Inc Pharmacy 181 Sophrira Ln, Altoona, PA 16602-6543 2006-07-29
1558383299 Iowa Cvs Pharmacy LLC Pharmacy 3414 8th St Sw, Altoona, IA 50009-1024 2006-07-24
1285671685 Thompson Enterprises, Inc. Pharmacy 1118 12th St, Altoona, PA 16601-3412 2006-06-02
1366780405 Altoona Union Avenue Pharmacy Pharmacy 2411 8th Ave, Altoona, PA 16602-2105 2013-01-24
1548537988 Altoona Pharmacy Inc Pharmacy 620 Howard Ave, Bldg G Suite 403, Altoona, PA 16601-4804 2011-11-30
Find all providers in ALTOONA

Competitor

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City ALTOONA
Zip Code 16601

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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