BROADWAY PHARMACY INC. (NPI# 1447703236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447703236 |
| Entity Type | Organization |
| Organization Name | BROADWAY PHARMACY INC. |
| Other Organization Name | BROADWAY PHARMACY |
| Practice Address |
7211 Broadway North Bergen NJ 07047-5736 |
| Practice Telephone | 2017669300 |
| Practice Fax Number | 2017669298 |
| Mailing Telephone | 2017669300 |
| Mailing Fax Number | 2017669298 |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |
| Authorized Official Name | MR. AVELINO JESUS AVELENDA (OWNER/PRESIDENT/RPIC) |
| Authorized Official Telephone | 2017669300 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28RS00749800 | NJ | Suppliers |
| Other Name | Type Code |
|---|---|
| Broadway Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902945587 | Broadway Pharmacy Inc. | Pharmacy | 101 Colorado Ave, Pueblo, CO 81004-4213 | 2007-02-06 |
| 1174140750 | Broadway Pharmacy Inc. | Pharmacy | 101 Colorado Ave, Pueblo, CO 81004-4213 | 2020-06-30 |
| Street Address |
7211 BROADWAY |
| City | NORTH BERGEN |
| State | NJ |
| Zip Code | 07047-5736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902961337 | Rcdc Corp | Pharmacy | 7211 Broadway, North Bergen, NJ 07047-5736 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850490 | Maria Purita Yballe | Nurse Practitioner | 8100 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-10-29 |
| 1639799646 | Red Oak Pharmacy Corp | Pharmacy | 9225 John F Kennedy Blvd, Unit F, North Bergen, NJ 07047 | 2020-04-20 |
| 1811520091 | Andres A Varilias | Pharmacist | 7917 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-02-17 |
| 1669016986 | Rebecca Lee | Dentist | 3123 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2019-10-30 |
| 1720648439 | Hannah Joy Guharajan | Speech-Language Pathologist | 5665 John F. Kennedy Blvd, Apt. 508, North Bergen, NJ 07047 | 2019-06-14 |
| 1417417080 | Chandini Sajja | Student in an Organized Health Care Education/Training Program | 7600 River Road, North Bergen, NJ 07047 | 2019-03-20 |
| 1215455522 | Xavier Steven Alzate | Specialist/Technologist | 338 75th Street, 2b, North Bergen, NJ 07047 | 2017-09-07 |
| 1962923151 | Hala Altunji | Dentist | 8407 Jfk Blvd E, North Bergen, NJ 07047 | 2017-06-28 |
| 1871023457 | Diego Nieto | Specialist | 6112 Durham Ave, North Bergen, NJ 07047 | 2017-06-15 |
| 1326578105 | Hudson Hills Senior Living, LLC | Nursing Care | 3505 Bergen Tpke, North Bergen, NJ 07047 | 2017-06-14 |
| Find all providers in zip 07047 | ||||
| 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 |
|---|---|---|---|---|
| 1780207720 | Tamer Pharmacy LLC | Pharmacy | 701 Kennedy Blvd, North Bergen, NJ 07047-1742 | 2020-05-26 |
| 1639799646 | Red Oak Pharmacy Corp | Pharmacy | 9225 John F Kennedy Blvd, Unit F, North Bergen, NJ 07047 | 2020-04-20 |
| 1265739049 | Walgreen Co | Pharmacy | 9255 Kennedy Blvd, North Bergen, NJ 07047 | 2011-02-14 |
| 1730483264 | T&m Pharmacy Inc | Pharmacy | 7200 Broadway, North Bergen, NJ 07047-5735 | 2010-12-23 |
| 1306987417 | Rap-r Pharmacy Inc | Pharmacy | 6101 Kennedy Blvd, North Bergen, NJ 07047-3441 | 2007-02-09 |
| 1750464384 | New Jersey Cvs Pharmacy LLC | Pharmacy | 9015 Bergenline Ave and 90th St, North Bergen, NJ 07047 | 2006-10-24 |
| 1992810774 | Lml Supermarkets Incorporated | Pharmacy | 3147 Kennedy Blvd, North Bergen, NJ 07047-2379 | 2006-08-20 |
| 1841728003 | Qkkp | Pharmacy | 6101 Kennedy Blvd, North Bergen, NJ 07047-3441 | 2017-05-31 |
| 1639523996 | A & K Pharmacy LLC | Pharmacy | 7200 Broadway, North Bergen, NJ 07047 | 2016-04-22 |
| 1730479221 | Harrys Pharmacy LLC | Pharmacy | 7917 Kennedy Blvd, North Bergen, NJ 07047-4137 | 2011-04-18 |
| Find all providers in NORTH BERGEN | ||||
| City | NORTH BERGEN |
| Zip Code | 07047 |
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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.