BROAD & LEHIGH PHARMACY INC NPI 1720082340

NPI Information

  • NPI: 1720082340
  • Provider Name: BROAD & LEHIGH PHARMACY, INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Address: 1300 W LEHIGH AVE
    SUITE 102
    PHILADELPHIA, PA
    ZIP 19132
  • Phone: (215) 228-9007

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NPI Details

BROAD & LEHIGH PHARMACY, INC is a community/retail pharmacy pharmacy in Philadelphia, PA. 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. BROAD & LEHIGH PHARMACY, INC NPI is 1720082340. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1300 W LEHIGH AVE
SUITE 102
PHILADELPHIA, PA
ZIP 19132-701
Phone: (215) 228-9007
Fax: (215) 228-9099

The provider's authorized official is Cynthia Ntefo .
The authorized official title is President and has the following contact phone number (215) 228-9007.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Covid-19 vaccine administration inside a patient's home; reported only once per individual home per date of service when only covid-19 vaccine administration is performed at the patient's home (HCPCS:M0201)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)

The enumeration date for this NPI number is 6/10/2005 and was last updated on 5/14/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacistPP415177LPENNSYLVANIANo
23336C0003XPharmacyCommunity/Retail PharmacyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1001587523003MEDICAIDPENNSYLVANIA
20015875230001MEDICAIDPENNSYLVANIA

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: 11/21/2025

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