BROADWAY CLINIC PHARMACY INC (NPI# 1982718961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982718961 |
| Entity Type | Organization |
| Organization Name | BROADWAY CLINIC PHARMACY INC |
| Practice Address |
607 S Mayo Trl Paintsville KY 41240 |
| Mailing Address |
607 S Mayo Trl Paintsville KY 41240-1250 |
| Practice Telephone | 6067899988 |
| Practice Fax Number | 6067897619 |
| Mailing Telephone | 6067899988 |
| Mailing Fax Number | 6067897619 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2018-07-18 |
| Authorized Official Name | JENNIFER WEDDINGTON (MANAGER) |
| Authorized Official Telephone | 6067899988 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P07841 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2031830 | 01 | |
| KY | 54008610 | 05 |
| 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 |
| 1407043565 | Broadway Clinic Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 280 Russell Rd, Ashland, KY 41101-7048 | 2007-10-02 |
| 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 |
607 S MAYO TRL |
| City | PAINTSVILLE |
| State | KY |
| Zip Code | 41240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407337579 | Angela Suzanne Fitch | Nurse Practitioner | 604 James S. Trimble Blvd, Suite 2, Paintsville, KY 41240 | 2018-08-27 |
| 1013446764 | Jimmy Woodrow Arnett | Counselor | 1032 Broadway St, Paintsville, KY 41240 | 2017-06-07 |
| 1073982914 | Heather Dawn Eperson | Nurse Practitioner | 604 James S Trimble Blvd, Suite 1, Paintsville, KY 41240 | 2015-09-22 |
| 1568808640 | Bhg Xxiv, LLC | Case Management | 628 Jefferson Avenue, Paintsville, KY 41240 | 2013-05-16 |
| 1275882375 | Carol Booth | Speech-Language Pathologist | 1025 Euclid Avenue, Paintsville, KY 41240 | 2012-09-05 |
| 1467601898 | Johnson County Health Dept | Public Health or Welfare | 649 Us Hwy 23 South, Staffordsville, KY 41240 | 2008-09-10 |
| 1033367560 | Johnson County Health Dept | Public Health or Welfare | 257 North Mayo Trail, Paintsville, KY 41240 | 2008-09-09 |
| 1770730038 | Johnson County Health Dept | Public Health or Welfare | 1715 Euclid Ave., Paintsville, KY 41240 | 2008-08-19 |
| 1720234958 | Johnson County Health Dept | Public Health or Welfare | 251 North Mayo Trail, Paintsville, KY 41240 | 2008-08-07 |
| 1689795619 | Crigger Mullins Speech Therapy Services Psc | Speech-Language Pathologist | 512 Elm St, Paintsville, KY 41240 | 2007-04-03 |
| Find all providers in zip 41240 | ||||
| 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 |
|---|---|---|---|---|
| 1043256068 | Value Med Inc | Pharmacy | 209 B N Mayo Trail, Paintsville, KY 41240 | 2006-06-20 |
| 1003446162 | Optimum Wellness Center | Pharmacy | 716 Broadway St, Paintsville, KY 41240-1357 | 2020-01-17 |
| 1609048990 | Big Sandy Pharmacy | Pharmacy | 316 Main St, Paintsville, KY 41240-1044 | 2008-03-27 |
| 1407871288 | Big Sandy Pharmacy Inc | Pharmacy | 316 Main St, Paintsville, KY 41240-1044 | 2006-07-13 |
| 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 | PAINTSVILLE |
| Zip Code | 41240 |
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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.