BROAD STREET PHARMA CORP
NPI 1396465407
Pharmacy - Community/Retail Pharmacy in Staten Island, NY
About Broad Street Pharma Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROAD STREET PHARMA CORP (NPI 1396465407), doing business as Broad Street Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Staten Island, New York and active in the NPI registry since August 2022. The organization lists Jamal Ali, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medical Equipment Supplier Medicare DMEPOS 4
Medicare supplier enrollment and the product categories Broad Street Pharma Corp carries, from the Medicare DMEPOS supplier directory.
Broad Street Pharma Corp
DMEPOS supplier · Staten Island, NYAccepts Medicare assignment
Broad Street Pharma Corp agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Street Pharma Corp's NPI number?
The NPI number for Broad Street Pharma Corp is 1396465407. It was assigned to this organization in the NPPES registry on August 30, 2022. The provider is doing business as broad street pharmacy.
Where is Broad Street Pharma Corp located?
Broad Street Pharma Corp is located at 209 Broad St, Staten Island, NY 10304. The listed phone number is (347) 464-1533.
What is Broad Street Pharma Corp's specialty?
The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.
Does Broad Street Pharma Corp accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Broad Street Pharma Corp accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does Broad Street Pharma Corp accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 44 other insurers list Broad Street Pharma Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Broad Street Pharma Corp was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Broad Street Pharma Corp · NPI 1396465407
Community/Retail Pharmacy organization in Staten Island, New York. Organization record, active in the CMS NPPES registry since August 30, 2022.
## Identity
- **NPI:** 1396465407 (Entity type: Organization)
- **Enumerated:** August 30, 2022
- **Primary specialty:** Pharmacy - Community/Retail Pharmacy · taxonomy 3336C0003X
- **Also known as:** broad street pharmacy (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jamal Ali, MANAGER
## Practice location
- **Address:** 209 BROAD ST, Staten Island, NY 10304-2105
- **Phone:** (347) 464-1533
## Record status
- **NPPES last updated:** August 30, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1396465407) · Data from the CMS NPPES public registry.