Tops Pharmacy

LBN: Broadway Penora Inc
Tops Pharmacy is an health care organization with primary practice located at 5175 Broadway , Depew NY 14043-4025. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Broadway Penora Inc can be contacted via phone (716) 515-3435, or through Hamed, Matt via phone (716) 635-5274.

Contact Information

Primary practice address
5175 Broadway Depew NY 14043-4025
Phone: (716) 515-3435
Fax: (855) 331-9010
Website:
Map and Directions
Authorized official contact:
Name: Hamed, Matt
Phone: (716) 635-5274

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 022990 New York

Profile Details

NPI number 1992737993
LBN Legal business name Broadway Penora Inc
DBA Doing business as Tops Pharmacy
Authorized official Hamed, Matt
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 19th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992737993 NPPES
Other 2061183 PK
MEDICAID 01679767 PK

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