South Broadway Pharmacy
Pharmacy
314 S Broadway, Yonkers
New York, 10705-2049
914-965-1000 914-965-1002
South Broadway Pharmacy is a Pharmacy in Yonkers, New York. It is located at 314 S Broadway, Yonkers and it's customer support contact number is 914-965-1000. The authorized person of South Broadway Pharmacy is Mr. Tarek Mansour Saleh, PHARM D, who is Supervising Pharmacist of the pharmacy and his contact number is 914-965-1000. Active license number of South Broadway Pharmacy is 030085 for Pharmacy in New York. South Broadway Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
South Broadway Pharmacy is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
South 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.
| Name: | South Broadway Pharmacy |
| Type: | Pharmacy |
| Location: | 314 S Broadway, Yonkers,
New York, 10705-2049 |
| Phone: | 914-965-1000 |
| Fax: | 914-965-1002 |
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. Tarek Mansour Saleh |
| Credentials: | PHARM D, |
| Position: | Supervising Pharmacist |
| Contact Number: | 914-965-1000 |
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: | 1467770420 |
| NPI Enumeration Date: | 13 May, 2010 |
| NPI Last Update On: | 29 Oct, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for South Broadway Pharmacy are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 030085 | New York | 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 |
| 03246077 | Medicaid | New York | |
Medicare Enrollment:
South 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 |
| 2860672011 | O20110205000139 | South Broadway Pharmacy | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 314 S Broadway,
Yonkers, New York |
| Zip: | 10705-2049 |
| Phone Number: | 914-965-1000 |
| Fax Number: | 914-965-1002 |
Patients can reach South Broadway Pharmacy at
314 S Broadway, Yonkers, New York or can
call on customer care at 914-965-1000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.