BROADWAY AVE PHARMACY
NPI 1861551079
Pharmacy - Community/Retail Pharmacy in Melrose Park, IL

Active since December 06, 2006
151 BROADWAY ST, MELROSE PARK, IL 60160(708) 450-0400(708) 344-3668 Get Directions Write a Review

NPPES record last updated: February 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Broadway Ave Pharmacy NPPES

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

BROADWAY AVE PHARMACY (NPI 1861551079) is a healthcare organization registered as a community/retail pharmacy in Melrose Park, Illinois and active in the NPI registry since December 2006. The organization lists Tushar Mehta, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1861551079
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHALSTED & 79TH ST. PHARMACY INC.
Location Address151 BROADWAY STMelrose Park, IL 60160-3702
Mailing Address151 Broadway AveMelrose Park, IL 60160-3702 · (708) 450-0400 · Fax (708) 344-3668
Fax(708) 344-3668
Organization SubpartNo
Authorized OfficialTushar MehtaPharmacy Manager · (708) 450-0400
Enumeration DateDecember 6, 2006
Last NPPES UpdateFebruary 3, 2011
NPI 1861551079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in IL · 054014924
Definition
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.
151 BROADWAY ST, Melrose Park, IL 60160

Other Names 1

Doing Business AsBroadway Ave Pharmacy

Other Identifiers 2

Medicare ID-Type Unspecified4099980001IL
Medicaid=========001IL

Accepted Insurance

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
151 BROADWAY ST
MELROSE PARK, IL 60160

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 Halsted & 79th St. Pharmacy Inc.'s NPI number?

The NPI number for Halsted & 79th St. Pharmacy Inc. is 1861551079. It was assigned to this organization in the NPPES registry on December 6, 2006. The provider is doing business as Broadway Ave Pharmacy.

Where is Halsted & 79th St. Pharmacy Inc. located?

Halsted & 79th St. Pharmacy Inc. is located at 151 Broadway St, Melrose Park, IL 60160. The listed phone number is (708) 450-0400.

What is Halsted & 79th St. Pharmacy Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Halsted & 79th St. Pharmacy Inc. 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 48 other insurers list Halsted & 79th St. Pharmacy Inc. 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 Halsted & 79th St. Pharmacy Inc. was last updated on February 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.