3890 BROADWAY PHARMACY IV, INC.
NPI 1790766103
Pharmacy in New York, NY

Active since November 11, 2005
3898 BROADWAY, NEW YORK, NY 10032(212) 568-0975(212) 568-0976 Get Directions Write a Review

NPPES record last updated: September 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 3890 Broadway Pharmacy Iv, Inc. NPPES

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

3890 BROADWAY PHARMACY IV, INC. (NPI 1790766103) is a healthcare organization registered as a pharmacy in New York, New York and active in the NPI registry since November 2005. The organization lists Haydee Meregildo, Owner, as its authorized official.

NPPES Registry Identity

NPI1790766103
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business Name3890 BROADWAY PHARMACY IV, INC.
Location Address3898 BROADWAYNew York, NY 10032
Mailing Address3898 BroadwayNew York, NY 10032 · (212) 568-0975 · Fax (212) 568-0976
Fax(212) 568-0976
Organization SubpartNo
Authorized OfficialHaydee MeregildoOwner · (212) 568-0975
Enumeration DateNovember 11, 2005
Last NPPES UpdateSeptember 15, 2008
NPI 1790766103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in NY · 027458
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.
3898 BROADWAY, New York, NY 10032

Other Identifiers 3

Medicare UPIN5538980001NY
Medicare NSC5538980001NY
Medicare PIN5538980001NY

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
3898 BROADWAY
NEW YORK, NY 10032

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 3890 Broadway Pharmacy IV, Inc.'s NPI number?

The NPI number for 3890 Broadway Pharmacy IV, Inc. is 1790766103. It was assigned to this organization in the NPPES registry on November 11, 2005.

Where is 3890 Broadway Pharmacy IV, Inc. located?

3890 Broadway Pharmacy IV, Inc. is located at 3898 Broadway, New York, NY 10032. The listed phone number is (212) 568-0975.

What is 3890 Broadway Pharmacy IV, Inc.'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 3890 Broadway Pharmacy IV, Inc. was last updated on September 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.