South Broad Drugs Inc in Newark - Community/retail Pharmacy
South Broad Drugs Inc - NPI 1528089596
South Broad Drugs Inc is a Community/retail Pharmacy in Newark, New Jersey. South Broad Drugs Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for South Broad Drugs Inc is 1528089596. The last update date is 2011-04-20.
South Broad Drugs Inc's current location address is 1094 Broad St, Newark, New Jersey. You can contact this provider via phone number 9738243929 and fax number 9738249446. The mailing address for South Broad Drugs Inc is 1094 Broad St, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Broad Drugs Inc |
|---|---|
| Address | 1094 Broad St, Newark, New Jersey |
| Phone Number | 9738243929 |
| Fax Number | 9738249446 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SUPERVISIN |
|---|---|
| Authorized Official Name | Shah Vinodrai |
| Credentials | RPH |
| Telephone Number | 9738243929 |
NPI Number Detail
| NPI Number | 1528089596 |
|---|---|
| Provider Enumeration Date | 2006-07-22 |
| Last Updated Date | 2011-04-20 |
Provider Mailing Address Detail
| Address | 1094 Broad St |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 71142004 |
| Phone Number | 9738243929 |
| Fax Number | 9738249446 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 28RS00358500 |
|
Definition: 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 pr |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3126528 | NCPDP PROVIDER IDENTIFICATION | ||
| 4358007 | NJ | -- |
Post Comment/ Review Below
What is the South Broad Drugs Inc's unique identification number?
The South Broad Drugs Inc has been assigned the NPI (National Provider Identifier) Number 1528089596 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where South Broad Drugs Inc is located?
The South Broad Drugs Inc is situated at the following address: 1094 Broad St, Newark, NJ, 71142004.
What is the South Broad Drugs Inc's area of specialization and corresponding taxonomy classification?
The South Broad Drugs Inc's specialty field is Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their specialties.
On what date did the South Broad Drugs Inc receive its 1528089596 assignment from the Centers for Medicare & Medicaid Services?
The South Broad Drugs Inc was assigned its 1528089596 by the Centers for Medicare & Medicaid Services on 2006-07-22.
As of what date were the details pertaining to South Broad Drugs Inc last refreshed?
The information related to the South Broad Drugs Inc, including its address, specialty, and other relevant details, was last updated on 2011-04-20.
NPI Number: 1154324168
Address: 175 S Union Blvd, Colorado Springs, CO
NPI Number: 1174526396
Address: 6111 Deltona Blvd, Spring Hill, FL
NPI Number: 1134122047
Address: 220 W Germantown Pike Ste 250, Plymouth Meeting, PA