BROAD & LEHIGH PHARMACY, INC (NPI# 1720082340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720082340 |
| Entity Type | Organization |
| Organization Name | BROAD & LEHIGH PHARMACY, INC |
| Practice Address |
1300 W Lehigh Ave Suite 102 Philadelphia PA 19132-2701 |
| Practice Telephone | 2152289007 |
| Practice Fax Number | 2152289099 |
| Mailing Telephone | 2152289007 |
| Mailing Fax Number | 2152289099 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2014-07-29 |
| Authorized Official Name | MR. BRIAN HOWARD SNYDER (PRESIDENT) |
| Authorized Official Telephone | 2152289007 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PP415177L | PA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0015875230001 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BROAD & LEHIGH PHARMACY, INC. | 1300 W Lehigh Ave Unit 102, Philadelphia, PA 19132-2760 |
| Street Address |
1300 W LEHIGH AVE SUITE 102 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19132-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083005227 | The Dialysis Center of North Philadelphia LLC | Clinic/Center | 1300 W Lehigh Ave, Suite 106, Philadelphia, PA 19132-2760 | 2015-02-10 |
| 1467690420 | Anne Clark Mcfadden | Physician Assistant | 1300 W Lehigh Ave, Philadelphia, PA 19132-2701 | 2009-01-29 |
| 1598817520 | Temple Physicians Inc. | Pediatrics | 1300 W Lehigh Ave, Suite B, Philadelphia, PA 19132-2760 | 2007-01-18 |
| 1013068345 | Temple Physicians Inc. | Internal Medicine | 1300 W Lehigh Ave, Suite A, Philadelphia, PA 19132-2760 | 2007-01-15 |
| 1104802743 | Mohamad Kadkhoda | Pediatrics | 1300 W Lehigh Ave, Suite B, Philadelphia, PA 19132-2701 | 2005-12-15 |
| 1790769917 | Ronald Cowen | Family Medicine | 1300 W Lehigh Ave, Philadelphia, PA 19132-2701 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811511017 | Irene Maria Clark | Social Worker | 3101 N. 29th St., Philadelphia, PA 19132 | 2020-06-03 |
| 1518407519 | Forget Me Knot Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 2321 N Broad Street, Philadelphia, PA 19132 | 2017-02-24 |
| 1609322437 | Shaakira Gillette | Social Worker | 2514 N. Broad St, Philadelphia, PA 19132 | 2016-08-31 |
| 1578017042 | Education Plus, Inc. | Nurse Practitioner | 3217 W. Clearfield Street, Philadelphia, PA 19132 | 2016-08-12 |
| 1972958544 | Rittenhouse Health LLC | Substance Abuse Rehabilitation Facility | 2321 N. Broad St, Philadelphia, PA 19132 | 2016-05-02 |
| 1336593458 | Jamal Vann | Counselor | 2233-43 West Allegheny Avenue, Philadelphia, PA 19132 | 2016-04-14 |
| 1487027132 | Jazzmin Devine | Specialist/Technologist | 200 Prospect St Hemlock 430a, East Stroudsburg University, PA 19132 | 2015-11-03 |
| 1609282508 | Lawrence Petitfrere | Pharmacist | 2801 W Dauphin St, Philadelphia, PA 19132 | 2014-07-11 |
| 1437565157 | Mental Health Partnerships | Community/Behavioral Health | 2709 N. Broad Street, Philadelphia, PA 19132 | 2014-07-02 |
| 1477977346 | Randy Morman | Counselor | 2514 N. Broad Street, 1st Floor, Philadelphia, PA 19132 | 2014-02-12 |
| Find all providers in zip 19132 | ||||
| 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 |
|---|---|---|---|---|
| 1063013704 | Truong Vu | Pharmacist | 1675 Christopher Columbus Blvd, Philadelphia, PA 19148-1402 | 2020-11-07 |
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1639797574 | Nikia Moody | Pharmacist | 3300 S Broad St, Philadelphia, PA 19145-5802 | 2020-07-07 |
| 1730706136 | William Galson | Pharmacist | 2732 E Venango St, Philadelphia, PA 19134-6121 | 2020-07-01 |
| 1801413489 | Kim-anh Tran | Pharmacist | 633 W Rittenhouse St Apt A204, Philadelphia, PA 19144-4327 | 2020-06-30 |
| 1376160374 | Amjad Azzawe | Pharmacist | 1335 Mount Vernon St, Philadelphia, PA 19123-3211 | 2020-06-25 |
| 1861017345 | Alice Hong Chandler | Pharmacist | 1405 S 10th St # At, Philadelphia, PA 19147-5608 | 2020-06-10 |
| 1710509518 | Nicholas Jospeh Carroll | Pharmacist | 21302 Delaire Landing Rd, Philadelphia, PA 19114-5205 | 2020-05-14 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1871129809 | Adina Klingman | Pharmacist | 5800 Woodland Ave, Philadelphia, PA 19143-5918 | 2020-03-21 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19132 |
Please comment or provide details below to improve the information on BROAD & LEHIGH PHARMACY, INC.
| 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.