NICOLE BROOMFIELD (NPI# 1669661252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669661252 |
| Entity Type | Individual |
| Full Name | NICOLE BROOMFIELD |
| Credential | RPH |
| Practice Address |
965 Broadhollow Rd Farmingdale NY 11735-3906 |
| Practice Telephone | 6318095910 |
| Mailing Telephone | 6317528980 |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2019-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 047897 | NY | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Sunrise Mall, Massapequa, NY 117584340 | 5167995042 | 5167995437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003439415 | Nicole Broomfield | Case Manager/Care Coordinator | 2347 Vine St, Cincinnati, OH 45219-1745 | 2020-05-20 |
| 1366866022 | Nicole Broomfield | Speech-Language Pathologist | 1545 Huy Rd, Columbus, OH 43224-3531 | 2014-02-14 |
| Street Address |
965 BROADHOLLOW RD |
| City | FARMINGDALE |
| State | NY |
| Zip Code | 11735-3906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013048529 | Wal-mart Stores East, L.p. | Eyewear Supplier (Equipment, not the service) | 965 Broadhollow Rd, Farmingdale, NY 11735 | 2007-03-08 |
| 1508372483 | Michael Pignataro | Technician/Technologist | 965 Broadhollow Rd, Farmingdale, NY 11735-3906 | 2017-12-14 |
| 1679089551 | Leonardo Lopez | Technician/Technologist | 965 Broadhollow Rd, Farmingdale, NY 11735-3906 | 2017-12-14 |
| 1740796622 | Kariam Castro | Technician/Technologist | 965 Broadhollow Rd, Farmingdale, NY 11735-3906 | 2017-12-14 |
| 1548776420 | Benereta Hoxha | Technician/Technologist | 965 Broadhollow Rd, Farmingdale, NY 11735-3906 | 2017-12-14 |
| 1649502345 | Craig Pezzillo | Pharmacist | 965 Broadhollow Rd, Farmingdale, NY 11735-3906 | 2010-02-04 |
| 1295967750 | Tarun K Suri | Pharmacist | 965 Broadhollow Rd, Farmingdale, NY 11735-3906 | 2009-08-18 |
| 1356520480 | Anshu Aggarwal I | Pharmacist | 965 Broadhollow Rd, Farmingdale, NY 11735-3906 | 2007-10-25 |
| 1760516678 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 965 Broadhollow Rd, Farmingdale, NY 11735-3906 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073151197 | Center Island Massage PC | Massage Therapist | 34 Hempstead Turnpike, Suite E, Farmingdale, NY 11735 | 2019-12-19 |
| 1447736434 | Melanie Clampitt | Occupational Therapy Assistant | 158 Sunset Ave, Farmingdale, NY 11735 | 2018-07-13 |
| 1841789120 | I-ting Lin | Acupuncturist | 376 Fulton St. The Phoenix Eastern Medicine Center, Farmingdale, NY 11735 | 2018-05-02 |
| 1447767371 | Nashon Clark | Social Worker | 565 Broadhollow Rd Ste 6e, Farmingdale, NY 11735 | 2017-12-31 |
| 1336669639 | Robby Harris | Psychologist | 31 Lincoln Street, Farmingdale, NY 11735 | 2017-06-27 |
| 1265961544 | Stacey Gouzos | Behavior Technician | 29 Bernard Street, Farmingdale, NY 11735 | 2017-06-08 |
| 1962856450 | Integrated Medical Interventional Diagnostics PC | Registered Nurse | 1111 Broad Hollow Rd 110 Suite 114, Farmingdale, NY 11735 | 2016-04-20 |
| 1528433604 | Robert Gerard Jr. | Peer Specialist | 142-02 20th Aveune, Rosedale, NY 11735 | 2015-12-01 |
| 1750750329 | Glenda Lopez | Case Manager/Care Coordinator | 539 Broad Hollow Rd, Suite 202, Farmingdale, NY 11735 | 2015-09-24 |
| 1366849911 | Jeffrey Rosa | Counselor | 500 Bi-country Blvd, Suite 114, Farmingdale, NY 11735 | 2014-11-25 |
| Find all providers in zip 11735 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437525649 | Joseph Valveri | Pharmacist | 51 Balcom Rd, Farmingdale, NY 11735-2303 | 2015-08-12 |
| 1992145122 | Jeffrrey Church | Pharmacist | 34 Wedgewood Dr, Farmingdale, ME 04344-2969 | 2013-07-02 |
| 1710263462 | Well Care Pharmacy of Longisland Corp. | Pharmacist | 1037 Fulton St, Farmingdale, NY 11735-4700 | 2011-10-26 |
| 1487954020 | Robert Thomas Corry | Pharmacist | 11 Executive Blvd, Farmingdale, NY 11735 | 2010-10-29 |
| 1073833307 | Kenneth Kalada | Pharmacist | 1306 Rte 33, Unit 4, Farmingdale, NJ 07727-4033 | 2010-06-09 |
| 1568787810 | Karen A Kahn | Pharmacist | 931 Conklin St Ste D, Farmingdale, NY 11735-2429 | 2010-03-30 |
| 1548584915 | Kevin Ferry | Pharmacist | 111 Rte 110, Farmingdale, NY 11735-4820 | 2010-03-15 |
| 1497078596 | Gurdine Soma | Pharmacist | 11 Ethan Dr, Farmingdale, NJ 07727-3776 | 2010-03-04 |
| 1679895254 | Michael Vincent Chan | Pharmacist | 931d Conklin Street, Farmingdale, NY 11735-2429 | 2010-02-23 |
| 1699007971 | Richard Gawrysiak | Pharmacist | 1111 Rte 110, Farmingdale, NY 11735-4820 | 2010-02-11 |
| Find all providers in FARMINGDALE | ||||
| City | FARMINGDALE |
| Zip Code | 11735 |
Please comment or provide details below to improve the information on NICOLE BROOMFIELD.
| 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.