BROADWAY DISCOUNT PHARMACY LLC (NPI# 1215439609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215439609 |
| Entity Type | Organization |
| Organization Name | BROADWAY DISCOUNT PHARMACY LLC |
| Other Organization Name | BROADWAY DISCOUNT PHARMACY |
| Practice Address |
1765 N Broadway Ave Bartow FL 33830-3104 |
| Mailing Address |
4040 Sunset Lake Dr Lakeland FL 33810-2841 |
| Practice Telephone | 8635377656 |
| Practice Fax Number | 8635377927 |
| Mailing Telephone | 2019167123 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2019-06-25 |
| Authorized Official Name | SAMIR DHADUK (OWNER) |
| Authorized Official Telephone | 2019167123 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH31216 | FL | Suppliers |
| Other Name | Type Code |
|---|---|
| Broadway Discount Pharmacy | Doing Business As Name - Organization |
| Street Address |
1765 N BROADWAY AVE |
| City | BARTOW |
| State | FL |
| Zip Code | 33830-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689732307 | James Goodwin | Occupational Therapist | 1765 N Broadway Ave, Bartow, FL 33830-3104 | 2006-12-05 |
| 1528606217 | Alpeshkumar Bhailalbhai Patel | Pharmacist | 1765 N Broadway Ave, Bartow, FL 33830-3104 | 2019-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124667902 | Care 4 All | Family Medicine | 2020 Flamingo Drive, Bartow, FL 33830 | 2019-12-27 |
| 1366911638 | Suhog Project Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 260 W Van Fleet Dr Apt 41, Bartow, FL 33830 | 2018-11-16 |
| 1851836357 | Danielle Shoemaker | Pharmacist | 395 East Van Fleet Dr, Bartow, FL 33830 | 2016-12-20 |
| 1942681911 | Beatriz Garciaprieto Carmona | Internal Medicine | 2250 Osprey Blvd Ste 102, Bartow, FL 33830 | 2015-06-15 |
| 1538418843 | A Time for Sharing Global Ministries, Inc | Marriage & Family Therapist | 2389 E.f.griffin Road, 2, Bartow, FL 33830 | 2012-08-31 |
| 1235487000 | Evellar Marissa Mcallister | Nurse Practitioner | 1064 N Broadway Ave, Bartow, FL 33830 | 2012-08-27 |
| 1679821813 | Margaret Annette Nelson | Marriage & Family Therapist | 2389 E.f Griffin Road, Bartow, FL 33830 | 2012-08-20 |
| 1003104381 | Rocky Mountain Holdings LLC | Ambulance | 5581 Airport Blvd, Bartow, FL 33830 | 2011-07-20 |
| 1972733913 | Amy Curry | Surgery | 2000 Osprey Blvd Ste 205, Bartow, FL 33830 | 2009-07-24 |
| 1356532204 | Kids First Pediatrics Pa | Pediatrics | 2000 Osprey Blvd S, 107, Bartow, FL 33830 | 2007-08-06 |
| Find all providers in zip 33830 | ||||
| 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 |
|---|---|---|---|---|
| 1336243310 | Holiday Cvs LLC | Pharmacy | 120 W Van Fleet Dr, Bartow, FL 33830-3836 | 2006-09-12 |
| 1245245364 | Walgreen Co | Pharmacy | 395 E Van Fleet Dr, Bartow, FL 33830-3833 | 2006-07-29 |
| 1477573780 | K T Pharmacy Inc | Pharmacy | 490 E Summerlin St, Bartow, FL 33830-4731 | 2006-07-20 |
| 1861053233 | Hiyacare,llc | Pharmacy | 1140 E Van Fleet Dr, Bartow, FL 33830-7626 | 2019-06-26 |
| 1932241403 | Drm Enterprises Inc | Pharmacy | 905 E Main St, Bartow, FL 33830-4906 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871583 | Florida Community Health Centers, Inc. | Pharmacy | 9576 S Us Highway 1, Port Saint Lucie, FL 34952-4217 | 2020-11-06 |
| 1053911883 | Nrc Pharmd Inc | Pharmacy | 2700 Immokalee Rd Ste 24, Naples, FL 34110-1437 | 2020-10-30 |
| 1073112116 | Hl72 LLC | Pharmacy | 5193 Clark Rd, Sarasota, FL 34233-3213 | 2020-10-20 |
| 1689280851 | Unique Pharmacy Corp | Pharmacy | 7800 Sw 87th Ave Ste 210b, Miami, FL 33173-2537 | 2020-09-22 |
| 1033723127 | Five Pillars Corporation | Pharmacy | 2301 N University Dr Ste 112, Pembroke Pines, FL 33024-3617 | 2020-09-04 |
| 1780297655 | Healthy Living Pharmacy LLC | Pharmacy | 755 Rosemary Cir, Bradenton, FL 34212-5015 | 2020-08-28 |
| 1326651555 | Purformance Wellness Pharmacy LLC | Pharmacy | 600 Se Indian St Ste 3, Stuart, FL 34997-5540 | 2020-08-27 |
| 1043822620 | Specialtycarerx LLC | Pharmacy | 821 N Us Highway 1 Ste A, Ormond Beach, FL 32174-4528 | 2020-08-17 |
| 1831700855 | Kingsley Rx LLC | Pharmacy | 1542 Kingsley Ave Ste 142, Orange Park, FL 32073-4547 | 2020-08-13 |
| 1104435742 | Easyscripts LLC | Pharmacy | 2601 S Military Trl Ste 1, West Palm Beach, FL 33415-7509 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
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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.