Broad St Pharmacy
NPI 1376769869ActiveOrganization· Pharmacy· Philadelphia, PA
Pharmacy in Philadelphia, Pennsylvania, registered in NPPES in April 2007. The authorized official on file is Morris J. White, RPH, Owner Rph.
Overview
| NPI | 1376769869 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 17, 2007 |
| Last updated in NPPES | Aug 21, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PP414363L | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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