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BROADWAY FAMILY PHARMACY PLLC NPI 1467898312


NPI Information

NPI: 1467898312
Provider Name: BROADWAY FAMILY PHARMACY PLLC

Doing Business As: BROADWAY FAMILY PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
6006 S CENTRAL AVE
PHOENIX, AZ
ZIP 85042
Phone: (602) 276-5485
Get Directions

BROADWAY FAMILY PHARMACY PLLC is a community/retail pharmacy pharmacy in Phoenix, AZ. The provider is 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. BROADWAY FAMILY PHARMACY PLLC NPI is 1467898312. The provider is registered as an organization entity type.
The provider Is Doing Business As Broadway Family Pharmacy.

The provider's business location address is:

6006 S CENTRAL AVE
PHOENIX, AZ
ZIP 85042-235
Phone: (602) 276-5485
Fax: (602) 276-0485

The provider's authorized official is Obinna Akubukwe .
The authorized official title is Pharmacist In Charge, Owner and has the following contact phone number (602) 384-0301.

The enumeration date for this NPI number is 5/20/2013 and was last updated on 5/9/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyY005639ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1818252MEDICAIDARIZONA
22140402OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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