BROADWAY CORNER
NPI 1114283512
Pharmacy - Community/Retail Pharmacy in Elmhurst, NY

Active since April 10, 2012
4026 75TH ST, ELMHURST, NY 11373(718) 426-4727(718) 426-4729 Get Directions Write a Review

NPPES record last updated: July 23, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About BROADWAY CORNER

This page provides the complete NPI Profile along with additional information for Broadway Corner, a provider established in Elmhurst, New York operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1114283512 assigned on April 2012. The practitioner's primary taxonomy code is 3336C0003X with license number 031253 (NY). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Broadway Corner. The authorized official of this NPI record is Mahmud Hossain (Supervising Pharmacist)

NPI
1114283512 Verify this NPI
Provider Legal Name
DHAKA PHARMACY INC
Other Organization Name
BROADWAY CORNER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4026 75TH ST ELMHURST, NY 11373
Location Phone
(718) 426-4727
Location Fax
(718) 426-4729
Mailing Address
4026 75TH ST ELMHURST, NY 11373
Mailing Phone
(718) 426-4727
Mailing Fax
(718) 426-4729
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-10-2012
Last Update Date
07-23-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
031253
License State
NY
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1333600000XSuppliers

Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MAHMUD HOSSAIN

Authorized Official Title
SUPERVISING PHARMACIST
Authorized Official Phone
(718) 426-4727

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5804972OTHER (01)NCPDP PROVIDER IDENTIFICATION NUMBER
6687440001MEDICARE NSC (07)NY 

Reviews for BROADWAY CORNER

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114283512, enumerated as an "organization" on April 10, 2012.

The provider is located at 4026 75TH ST ELMHURST, NY 11373 and the phone number is (718) 426-4727.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.