Broad Avenue Pharmacy Llc
Community/Retail Pharmacy
2329 Broad Ave, Altoona
Pennsylvania, 16601-1979
814-943-1310 814-943-2841
Broad Avenue Pharmacy Llc is a Community/Retail Pharmacy in Altoona, Pennsylvania. It is located at 2329 Broad Ave, Altoona and it's customer support contact number is 814-943-1310. The authorized person of Broad Avenue Pharmacy Llc is William Thompson who is President of the pharmacy and his contact number is 814-944-6139. Active license number of Broad Avenue Pharmacy Llc is PP410249L for Community/Retail Pharmacy in Pennsylvania. Broad Avenue Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Broad Avenue Pharmacy Llc is 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.
Pharmacy Details:
Broad Avenue Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Broad Avenue Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 2329 Broad Ave, Altoona,
Pennsylvania, 16601-1979 |
| Phone: | 814-943-1310 |
| Fax: | 814-943-2841 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | William Thompson |
| Position: | President |
| Contact Number: | 814-944-6139 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1184661589 |
| NPI Enumeration Date: | 02 Jun, 2006 |
| NPI Last Update On: | 26 Apr, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Broad Avenue Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PP410249L | Pennsylvania | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0019655640001 | Medicaid | Pennsylvania | |
Medicare Enrollment:
Broad Avenue Pharmacy Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 8729295365 | O20100930008139 | Broad Avenue Pharmacy Llc | DME SUPPLIER - PHARMACY |
Products Available:
Broad Avenue Pharmacy Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Nebulizer Equipment & Supplies |
| • Parenteral Equipment And/or Supplies | • Parenteral Nutrients |
| • Surgical Dressings | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2329 Broad Ave,
Altoona, Pennsylvania |
| Zip: | 16601-1979 |
| Phone Number: | 814-943-1310 |
| Fax Number: | 814-943-2841 |
Patients can reach Broad Avenue Pharmacy Llc at
2329 Broad Ave, Altoona, Pennsylvania or can
call on customer care at 814-943-1310.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.