Broad Pharmacy 1 LLC
NPI 1437935632 · Community/Retail Pharmacy · Palisades Park, NJ
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Broad Pharmacy 1 LLC is a Community/Retail Pharmacy organization in Palisades Park, NJ (NPI 1437935632).
Provider details
- NPI number
- 1437935632
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Young Kang, President(201) 313-0111
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Broad Pharmacy
Registry dates
- Enumerated
- 2023-09-04
- Last updated
- 2023-09-04
- Certified
- 2023-09-04
Frequently asked questions
- What is Broad Pharmacy 1 LLC's NPI number?
- Broad Pharmacy 1 LLC's National Provider Identifier (NPI) is 1437935632, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broad Pharmacy 1 LLC?
- Broad Pharmacy 1 LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Broad Pharmacy 1 LLC located?
- Broad Pharmacy 1 LLC's practice location on file with NPPES is 17 Broad Ave # 1, Palisades Park, NJ 07650-1403.
- What is Broad Pharmacy 1 LLC's phone number?
- The practice phone number listed in the NPPES registry for Broad Pharmacy 1 LLC is (201) 313-0111.
- Does Broad Pharmacy 1 LLC accept Medicare?
- Broad Pharmacy 1 LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Broad Pharmacy 1 LLC?
- The authorized official listed on Broad Pharmacy 1 LLC's NPPES record is Young Kang, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broad Pharmacy 1 LLC's NPI active?
- Yes — Broad Pharmacy 1 LLC's NPI (1437935632) is active in the NPPES registry as of the last update on 2023-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.