BROADWAY PHARMACY
NPI 1265421663
Pharmacy in Cape Girardeau,


Quality Rating: 100 out of 100 score

NPI Status: Active since October 18, 2005

Contact Information

710 Broadway St
Cape Girardeau,
Post Code: 63701
Phone: (573) 335-8207
Fax: (573) 335-4904

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Broadway Pharmacy in Cape Girardeau - Pharmacy

Broadway Pharmacy is a Pharmacy in Cape Girardeau, . Broadway Pharmacy practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Broadway Pharmacy is 1265421663. The last update date is 2018-07-19.

Broadway Pharmacy's current location address is 710 Broadway St, Cape Girardeau, . You can contact this provider via phone number (573) 335-8207 and fax number (573) 335-4904. The mailing address for Broadway Pharmacy is 710 Broadway St, Cape Girardeau, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1265421663
Provider Legal Name
KNL PRESCRIPTIONS LLC
Other Organization Name
BROADWAY PHARMACY
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
710 Broadway St, Cape Girardeau,
Location Phone
(573) 335-8207
Location Fax
(573) 335-4904
Mailing Address
37 Doctors Park # 7, Cape Girardeau, Missouri(MO)
Mailing Phone
573-803-2040
Mailing Fax
573-335-4904
Enumeration Date
2005-10-18
Last Update Date
2018-07-19
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy, Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
-
License No.
2011012280
License State
Missouri (MO)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 333600000X Pharmacy

Pharmacy

()
2 3336M0002X Mail Order Pharmacy

Pharmacy, Mail Order Pharmacy

()
3 3336S0011X Specialty Pharmacy

Pharmacy, Specialty Pharmacy

()

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2130422 Other (non-Medicare) (01) () PK
600200208 MEDICAID (05) Missouri (MO)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1265421663
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22125822612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 22125822612
2 + 2 + 1 + 2 + 5 + 8 + 2 + 2 + 6 + 1 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 3 3

The NPI number 1265421663 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205839354 EMIL A DIFILIPPO
Individual
Orthopaedic Surgery 9323 PHOENIX VILLAGE PKWY
O FALLON, Missouri (MO)
636-561-5030
1124021142 MARK H DEWOLFE
Individual
Internal Medicine, Hematology & Oncology 5400 N OAK TRFY
KANSAS CITY, Missouri (MO)
816-454-1658
1184627101 YAN CHEN
Individual
Specialist 17501 E 40 HWY
INDEPENDENCE, Missouri (MO)
816-478-4887
1144223355 HANNAH-NGOC T HA
Individual
Surgery 12401 OLIVE BLVD STE 202
CREVE COEUR, Missouri (MO)
314-834-2888
1205839404 MUHAMMAD TAUQUIR YASIN
Individual
Surgery, Surgical Critical Care 11133 DUNN RD
SAINT LOUIS, Missouri (MO)
314-953-8300