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BROAD ST PHARMACY
NPI 1376769869
Pharmacy in Philadelphia, PA

Active since April 17, 2007
1412 S BROAD ST, PHILADELPHIA, PA 19146(215) 755-2010(215) 940-1266 Get Directions Write a Review

NPPES record last updated: August 21, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Broad St Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROAD ST PHARMACY (NPI 1376769869) is a healthcare organization registered as a pharmacy in Philadelphia, Pennsylvania and active in the NPI registry since April 2007. The organization lists Morris J White, Owner Rph, as its authorized official.

NPPES Registry Identity

NPI1376769869
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameBROAD ST PHARMACY
Location Address1412 S BROAD STPhiladelphia, PA 19146
Mailing Address1412 S Broad StPhiladelphia, PA 19146 · (215) 755-2010 · Fax (215) 940-1266
Phone(215) 755-2010
Fax(215) 940-1266
Organization SubpartNo
Authorized OfficialMorris J WhiteOwner Rph · (215) 755-2010
Enumeration DateApril 17, 2007
Last NPPES UpdateAugust 21, 2007
✔ NPI 1376769869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in PA · PP414363L
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
1412 S BROAD ST, Philadelphia, PA 19146
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Other Identifiers 2

Other3961047PA · Nabp
Medicaid00121699PA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broad St Pharmacy's NPI number?

The NPI number for Broad St Pharmacy is 1376769869. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Broad St Pharmacy located?

Broad St Pharmacy is located at 1412 S Broad St, Philadelphia, PA 19146. The listed phone number is (215) 755-2010.

What is Broad St Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Broad St Pharmacy was last updated on August 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.