BROAD AVENUE PHARMACY LLC
NPI 1396879003
Pharmacist in New Orleans, LA

Active since March 15, 2007
1400 NORTH BROAD AVENUE, NEW ORLEANS, LA 70119(504) 309-4388(504) 309-4389 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broad Avenue Pharmacy Llc NPPES

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

BROAD AVENUE PHARMACY LLC (NPI 1396879003) is a healthcare organization registered as a pharmacist in New Orleans, Louisiana and active in the NPI registry since March 2007. The organization lists Phat Kim Quach, Vice-president And Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1396879003
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameBROAD AVENUE PHARMACY LLC
Location Address1400 NORTH BROAD AVENUENew Orleans, LA 70119
Mailing Address1400 North Broad AvenueNew Orleans, LA 70119 · (504) 309-4388 · Fax (504) 309-4389
Fax(504) 309-4389
Organization SubpartNo
Authorized OfficialPhat Kim QuachVice-president And Pharmacist · (504) 231-4796
Enumeration DateMarch 15, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1396879003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in LA · 5757
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
1400 NORTH BROAD AVENUE, New Orleans, LA 70119

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Avenue Pharmacy LLC's NPI number?

The NPI number for Broad Avenue Pharmacy LLC is 1396879003. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Broad Avenue Pharmacy LLC located?

Broad Avenue Pharmacy LLC is located at 1400 North Broad Avenue, New Orleans, LA 70119. The listed phone number is (504) 309-4388.

What is Broad Avenue Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Broad Avenue Pharmacy LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.