BROADWAY SPECIALTY, LLC (NPI# 1932690377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932690377 |
| Entity Type | Organization |
| Organization Name | BROADWAY SPECIALTY, LLC |
| Other Organization Name | REMEDY PHARMACY |
| Practice Address |
706 Broadway St Cape Girardeau MO 63701 |
| Mailing Address |
710 Broadway St Cape Girardeau MO 63701-5514 |
| Practice Telephone | 8006408207 |
| Mailing Telephone | 5733358207 |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2019-07-10 |
| Authorized Official Name | KEVIN WOOD (OWNER) |
| Authorized Official Telephone | 5733358207 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Broadway Specialty Pharmacy | Doing Business As Name - Organization |
| Remedy Pharmacy | Doing Business As Name - Organization |
| Street Address |
706 BROADWAY ST |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1972079580 | Savannah Laine Menard | Behavior Technician | 20 S. Sprigg St, Cape Girardeau, MO 63701 | 2018-10-22 |
| 1356864649 | Terri L. Mccord | Pharmacist | 4170 Connor Dr, Cape Girardeau, MO 63701 | 2017-07-19 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1225432172 | Axpm - Merkley, LLC | Dentist | 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 | 2014-10-21 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891194213 | Deanna Abner | Case Manager/Care Coordinator | 20 South Sprigg, Cape Girardeau, MO 63701 | 2014-08-21 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| 1073938189 | Fox Family Dental, L.L.C. | Dentist | 832 N. Kingshighway Street, Cape Girardeau, MO 63701 | 2014-02-26 |
| Find all providers in zip 63701 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| 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 |
|---|---|---|---|---|
| 1154742161 | Aureus Health Services, LLC | Pharmacy | 61 Doctors Park, Cape Girardeau, MO 63703-4927 | 2013-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538529698 | Good Health Inc | Pharmacy | 1943 Schuetz Rd, Saint Louis, MO 63146-3550 | 2016-03-02 |
| 1083035760 | L&j Pharmacy Inc | Pharmacy | 319 S Main St Ste N-2, Rogersville, MO 65742-9361 | 2013-12-23 |
| 1730475112 | Riverside Pharmacy Associates LLC | Pharmacy | 616 Nw Platte Valley Dr, Riverside, MO 64150-9798 | 2011-06-23 |
| 1356673222 | Avella of St. Louis, Inc. | Pharmacy | 450 N New Ballas Rd Ste 256, Saint Louis, MO 63141-6836 | 2010-02-03 |
| 1073742714 | Pharmacy Management Services Inc | Pharmacy | 7150 Natural Bridge Rd Ste 101, Saint Louis, MO 63121-5151 | 2009-07-02 |
| 1194917773 | Specialty Pharmacy of St. Louis, LLC | Pharmacy | 623 N New Ballas Rd, Creve Coeur, MO 63141-6713 | 2007-08-16 |
| 1487298881 | Foundation Care LLC | Pharmacy | 4010 Wedgeway Ct, Earth City, MO 63045-1213 | 2019-10-30 |
| 1649751744 | Lscs Holdings, Inc. | Pharmacy | 17877 Chesterfield Airport Rd, Chesterfield, MO 63005-1211 | 2018-08-27 |
| 1003281619 | Washington University | Pharmacy | 150 Entrance Way, Saint Peters, MO 63376-1645 | 2015-12-08 |
| 1689945453 | Riverside Pharmacy Associates, LLC | Pharmacy | 3406 Broadway St, Suite A, Kansas City, MO 64111-2404 | 2012-01-25 |
| Find all providers with the same taxonomy | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
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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.