Broadway Pharmacy is an authorized DME supplier for medicare equipments and products.
Broadway Pharmacy is a Community/Retail Pharmacy in Cape Girardeau, Missouri. This pharmacy is owned and operated by Knl Prescriptions Llc. It is located at 710 Broadway St, Cape Girardeau and it's customer support contact number is 573-335-8207. The authorized person of Broadway Pharmacy is Kevin Wood, PHARMD who is Owner of the pharmacy and his contact number is 573-335-8207. Active license number of Broadway Pharmacy is 2011012280 for Community/Retail Pharmacy in Missouri. Broadway Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Broadway Pharmacy 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:
Broadway Pharmacy 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.
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:
Kevin Wood
Credentials:
PHARMD
Position:
Owner
Contact Number:
573-335-8207
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:
1265421663
NPI Enumeration Date:
18 Oct, 2005
NPI Last Update On:
19 Jul, 2018
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Broadway Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
2011012280
Missouri
Primary
Pharmacy
Secondary
Mail Order Pharmacy
Secondary
Specialty 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
2130422
Other
Pk
600200208
Medicaid
Missouri
Medicare Enrollment:
Broadway Pharmacy 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
9739350604
O20110926000543
Knl Prescriptions Llc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
9739350604
O20111013000264
Knl Prescriptions Llc
DME SUPPLIER - PHARMACY
Products Available:
Broadway Pharmacy has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Mail Order
Blood Glucose Monitors & Supplies: Non-mail Order
Canes & Crutches
Diabetic Shoes & Inserts: Custom Fabricated
Diabetic Shoes & Inserts: Prefabricated
Enteral Equipment And/or Supplies
Enteral Nutrients
Nebulizer Equipment & Supplies
Orthoses: Off-the-shelf
Ostomy Supplies
Surgical Dressings
Urological Supplies
Walkers
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
37 Doctors Park # 7, Cape Girardeau, Missouri
Zip:
63703-4956
Phone Number:
573-803-2040
Fax Number:
573-335-4904
Patients can reach Broadway Pharmacy at 710 Broadway St, Cape Girardeau, Missouri or can call on customer care at 573-335-8207.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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