BROADWAY CLINIC PHARMACY INC (NPI# 1447480702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447480702 |
| Entity Type | Organization |
| Organization Name | BROADWAY CLINIC PHARMACY INC |
| Other Organization Name | MEDICINE CABINET PHARMACY |
| Practice Address |
230 State Highway 2 Olive Hill KY 41164-4513 |
| Practice Telephone | 6062862035 |
| Practice Fax Number | 6062862035 |
| Mailing Telephone | 6062862035 |
| Mailing Fax Number | 6062862035 |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | JOSEPH LEE (OWNER) |
| Authorized Official Telephone | 6062862035 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P07346 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1831381 | 01 | |
| KY | 7100071820 | 05 |
| 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 |
| 1407043565 | Broadway Clinic Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 280 Russell Rd, Ashland, KY 41101-7048 | 2007-10-02 |
| 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 |
230 STATE HIGHWAY 2 |
| City | OLIVE HILL |
| State | KY |
| Zip Code | 41164-4513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427672476 | Amy Lynn Bowling | Behavior Technician | 12008 W Hwy 60, Olive Hill, KY 41164 | 2020-06-05 |
| 1598390825 | Krista Stone | Behavior Technician | 12008 West Highway 60, Olive Hill, KY 41164 | 2020-03-06 |
| 1770053316 | Angela Hanshaw | Chore Provider | 1181 State Highway 3298, Olive Hill, KY 41164 | 2018-11-27 |
| 1306369368 | Walgreen Co | Pharmacy | 410 W Tom T Hall Blvd, Olive Hill, KY 41164 | 2017-07-21 |
| 1720539109 | Ashland Hospital Corporation | Physician Assistant | 8249 East Highway 60, Olive Hill, KY 41164 | 2016-10-20 |
| 1750793576 | Stacy D Bond | Nurse Practitioner | 155 Bricklayer St, Olive Hill, KY 41164 | 2014-05-28 |
| 1265853741 | Owen Pharmacist Group LLC | Durable Medical Equipment & Medical Supplies | 136 Jessica Lane, Suite-e, Olive Hill, KY 41164 | 2013-12-30 |
| 1730519612 | Kandi Knipp-conn | Social Worker | 316 East Main Street, Morehead, KY 41164 | 2013-11-14 |
| 1063765857 | Heather Dawn Bond | Community Health Worker | 264 Smiths Creek, Olive Hill, KY 41164 | 2012-10-18 |
| 1285925388 | Richard Wayne Mccrocklin | Pharmacist | 410 West Tom T Hall Blvd, Olive Hill, KY 41164 | 2011-04-22 |
| Find all providers in zip 41164 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306369368 | Walgreen Co | Pharmacy | 410 W Tom T Hall Blvd, Olive Hill, KY 41164 | 2017-07-21 |
| 1528054160 | Dehart Pharmacy, Inc. | Pharmacy | 101 West Tom T Hall Blvd, Olive Hill, KY 41164 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445259 | Middletown Pharmacist Group | Pharmacy | 11601 Shelbyville Rd Ste B, Louisville, KY 40243-1309 | 2020-10-21 |
| 1144828724 | Pharmacy Care Center | Pharmacy | 10616 South Ky Hwy 15, Scuddy, KY 41760 | 2020-10-15 |
| 1497361208 | Kerry Hettinger | Pharmacy | 1114 Schiller Ave, Louisville, KY 40204-1946 | 2020-09-17 |
| 1114539822 | B&b Pharmacy, Pllc | Pharmacy | 126 Shadowmeade Lane, Unit 2, Mount Washington, KY 40047 | 2020-08-24 |
| 1376161588 | Arh Mary Breckinridge Health Services, Inc. | Pharmacy | 3504 West Cumberland Ave, Middlesboro, KY 40965-2612 | 2020-07-14 |
| 1073139531 | Cornerstone Care Associates | Pharmacy | 1509 1/2 Lexington Rd Ste 2, Richmond, KY 40475-1060 | 2020-06-21 |
| 1912523614 | Oldham Pharmacist Group | Pharmacy | 1000 Cherrywood Pl Ste 100, La Grange, KY 40031-8927 | 2020-06-18 |
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1922629997 | Classic Specialty Pharmacy Pllc | Pharmacy | 3582 Springhurst Blvd, Louisville, KY 40241-4141 | 2020-05-01 |
| 1346860095 | Dupont Pharmacy, LLC | Pharmacy | 3924 S Dupont Sq Ste D, Louisville, KY 40207-5912 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
| City | OLIVE HILL |
| Zip Code | 41164 |
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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.