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BROOME ONCOLOGY LLC NPI 1801097233


NPI Information

NPI: 1801097233
Provider Name: BROOME ONCOLOGY LLC

Doing Business As: BROOME ONCOLOGY

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 33D1028885

Address:
169 RIVERSIDE DR
BINGHAMTON, NY
ZIP 13905
Phone: (607) 798-5307
Get Directions

BROOME ONCOLOGY LLC is a pharmacy in Binghamton, NY. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. BROOME ONCOLOGY LLC NPI is 1801097233. The provider is registered as an organization entity type.
The provider Is Doing Business As Broome Oncology.

The provider's business location address is:

169 RIVERSIDE DR
BINGHAMTON, NY
ZIP 13905-246
Phone: (607) 798-5307
Fax: (607) 798-5078

The provider's authorized official is Bud Rogers .
The authorized official title is Business Manager and has the following contact phone number (607) 763-8095.

The CLIA number assigned to this NPI record is 33D1028885 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 3/4/2008.


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
1333600000XPharmacyYes

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
102202871MEDICAIDNEW YORK
24439690001MEDICARE NSCNEW YORK
3AA1006MEDICARE ID-TYPE UNSPECIFIEDNEW YORK

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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