BROADWAY CLINIC PHARMACY INC (NPI# 1407043565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407043565 |
| Entity Type | Organization |
| Organization Name | BROADWAY CLINIC PHARMACY INC |
| Other Organization Name | MEDICINE CABINET PHARMACY |
| Practice Address |
280 Russell Rd Ashland KY 41101-7048 |
| Mailing Address |
515 Broadway Ave Paintville KY 41101 |
| Practice Telephone | 6063246337 |
| Practice Fax Number | 6063240533 |
| Mailing Telephone | 6067899988 |
| Mailing Fax Number | 6067897619 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2011-07-18 |
| Authorized Official Name | STEVEN WILLIAM (PRESIDENT) |
| Authorized Official Telephone | 6063246337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P07212 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1830353 | 01 |
| Other Name | Type Code |
|---|---|
| MEDICINE CABINET PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255620464 | Broadway Clinic Pharmacy Inc | Pharmacy | 698 E New Circle Rd, Lexington, KY 40505-2948 | 2011-03-29 |
| 1447480702 | Broadway Clinic Pharmacy Inc | Pharmacy | 230 State Highway 2, Olive Hill, KY 41164-4513 | 2009-07-21 |
| 1982718961 | Broadway Clinic Pharmacy Inc | Pharmacy | 607 S Mayo Trl, Paintsville, KY 41240 | 2006-08-18 |
| 1043589062 | Broadway Clinic Pharmacy Inc | Pharmacy | 50 Lincoln St, Kermit, WV 25674 | 2011-12-20 |
| 1700194578 | Broadway Clinic Pharmacy Inc | Pharmacy | 47454 Route 52, Kermit, WV 25674-8052 | 2010-09-15 |
| 1255660379 | Broadway Clinic Pharmacy Inc | Pharmacy | 251 S Pine St, Pineville, KY 40977-1646 | 2009-12-19 |
| Street Address |
280 RUSSELL RD |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101-7048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1306309067 | Ccc Management, LLC | Durable Medical Equipment & Medical Supplies | 1237 Carter Ave, Ashland, KY 41101 | 2019-04-10 |
| 1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
| 1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
| 1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
| 1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
| 1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
| 1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
| Find all providers in zip 41101 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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] |
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| 1457631079 | Pcms, LLC | Pharmacy | 9555 Kings Charter Dr, Suite D, Ashland, VA 23005-7994 | 2011-08-26 |
| 1689981060 | Tamaqua Pharmacy LLC | Pharmacy | 626 Centre St, Ashland, PA 17921-1332 | 2010-09-08 |
| 1235205154 | Ashland Drugs Inc | Pharmacy | 15917 Boundary Street, Ashland, MS 38603 | 2006-11-24 |
| 1588764914 | Cvs Pharmacy Inc | Pharmacy | 47 Pond St, Kings Crossing Plz, Ashland, MA 01721-2054 | 2006-09-25 |
| 1194829861 | Virginia Cvs Pharmacy LLC | Pharmacy | 133 Junction Dr, Ashland, VA 23005-2253 | 2006-09-12 |
| 1013010750 | Kentucky Cvs Pharmacy, L.L.C. | Pharmacy | 1221 Lexington Ave, Ashland, KY 41101-2648 | 2006-09-07 |
| 1669414967 | Newport News Pharmacy LLC | Pharmacy | 9555 Kings Charter Dr Ste D, Ashland, VA 23005-7994 | 2006-06-12 |
| 1629542469 | Lewis County Primary Care Center, Inc. | Pharmacy | 432 16th St, Ashland, KY 41101-7693 | 2019-01-15 |
| Find all providers in ASHLAND | ||||
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| 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.