Broad Street Pharma Corp
About this NPIWhat this record shows.
NPI 1396465407 is registered to Broad Street Pharma Corp, a healthcare organisation classified as "Community/Retail Pharmacy" and located at 209 Broad St in Staten Island, New York. The organisation's authorised official is Jamal Ali. The organisation has been enumerated in the NPI registry since 2022.
Your brand here.
Medicare enrollment
This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Part B Supplier
- O20230126000749PharmacyNY
DME Supplier
- O20230424001288PharmacyNY
Source: CMS PECOS public enrollment file.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Broad Street Pharma Corp accepts. To confirm in-network status with your specific health plan, contact Broad Street Pharma Corp directly at (347) 464-1533.
Frequently asked
Yes. NPI 1396465407 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Community/Retail Pharmacy is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (347) 464-1533.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Broad Street Pharma Corp is a Type-2 organisational NPI.