Isham Broadway Pharmacy Inc
Community/Retail Pharmacy
4996 Broadway, , 212 Th Street, New York
New York, 10034
212-567-3137 212-567-3110
Isham Broadway Pharmacy Inc is an authorized DME supplier for medicare equipments and products.
Isham Broadway Pharmacy Inc is a Community/Retail Pharmacy in New York, New York. It is located at 4996 Broadway, , 212 Th Street, New York and it's customer support contact number is 212-567-3137. The authorized person of Isham Broadway Pharmacy Inc is Mr. Satyanarayana Nekkanti who is President of the pharmacy and his contact number is 212-567-3137. Isham Broadway Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Isham Broadway Pharmacy Inc 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:
Isham Broadway Pharmacy Inc 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: | Isham Broadway Pharmacy Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 4996 Broadway, , 212 Th Street, New York, New York, 10034 |
| Phone: | 212-567-3137 |
| Fax: | 212-567-3110 |
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: | Mr. Satyanarayana Nekkanti |
| Position: | President |
| Contact Number: | 212-567-3137 |
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: | 1386706612 |
| NPI Enumeration Date: | 14 Dec, 2006 |
| NPI Last Update On: | 06 Jun, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Isham Broadway Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | | | Primary | |
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 |
| 3395236 | Other | New York | Ncpdp Number |
| 01147933 | Medicaid | New York | |
Medicare Enrollment:
Isham Broadway Pharmacy Inc 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 |
| 9234257353 | O20100930100289 | Isham Broadway Pharmacy | DME SUPPLIER - PHARMACY |
Products Available:
Isham Broadway Pharmacy Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Commodes, Urinals, & Bedpans |
| • Heat & Cold Applications | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Ostomy Supplies |
| • Traction Equipment | • Transcutaneous Electrical Nerve Stimulators (tens) Units |
| • 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: | 4996 Broadway, 212 Th Street New York, New York |
| Zip: | 10034 |
| Phone Number: | 212-567-3137 |
| Fax Number: | 212-567-3110 |
Patients can reach Isham Broadway Pharmacy Inc at
4996 Broadway, , 212 Th Street, New York, New York or can
call on customer care at 212-567-3137.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.