- Practice location
- 3898 Broadway, New York, NY 10032
- Phone
- 212-568-0975
- Fax
- 212-568-0976
- Last updated
- September 15, 2008
3890 Broadway Pharmacy IV, INC. is a healthcare organization based in New York, NY. 3890 Broadway Pharmacy IV, INC. practices in New York, NY. The NPI Number for 3890 Broadway Pharmacy IV, INC. is 1790766103 and holds a License No. 027458 (NY). The current practice location address for 3890 Broadway Pharmacy IV, INC. is 3898 Broadway, New York, NY 10032 and can be reached out via phone at 212-568-0975 and via fax at 212-568-0976.
Provider Profile Details
- NPI Number
- 1790766103
- Provider Name
- 3890 Broadway Pharmacy IV, INC.
- Provider Entity Type
- Organization
- Address
- 3898 Broadway, New York, NY 10032
- Phone Number
- 212-568-0975
- Fax Number
- 212-568-0976
- Primary Taxonomy
- Pharmacy · 333600000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Haydee Meregildo · Owner · 212-568-0975
- Provider Enumeration Date
- November 11, 2005
- Last Update Date
- September 15, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3898 Broadway
New York, NY 10032 - City
- New York
- State
- New York
- Zip
- 10032
- Phone Number
- 212-568-0975
- Fax Number
- 212-568-0976
Provider Business Mailing Address Details
- Address
- 3898 Broadway
New York, NY 10032 - City
- New York
- State
- NY
- Zip
- 10032
- Phone Number
- 212-568-0975
- Fax Number
- 212-568-0976
License Information
- License Number
- 027458
- License State
- NY
- Taxonomy
- Pharmacy · 333600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacy providers near New York, NY
View all Pharmacy providers in New York →Frequently Asked Questions
What is the NPI number of 3890 Broadway Pharmacy IV, INC.?
The NPI number of 3890 Broadway Pharmacy IV, INC. is 1790766103. It was assigned on November 11, 2005 and is currently active in the NPPES registry.
What is the specialty of 3890 Broadway Pharmacy IV, INC.?
3890 Broadway Pharmacy IV, INC. is registered under the primary taxonomy Pharmacy (code 333600000X), licensed in NY under license number 027458.
Where does 3890 Broadway Pharmacy IV, INC. practice?
The practice location is 3898 Broadway, New York, NY 10032. The office can be reached at 212-568-0975 (phone) or 212-568-0976 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790766103 directly on the NPPES registry website.