Broad Avenue Pharmacy LLC
NPI 1669948162ActiveOrganization· Pharmacy· New Orleans, LA
Pharmacy in New Orleans, Louisiana, registered in NPPES in October 2018. The authorized official on file is Phat Quach, Pharmacy Manager. Medicare paid $6,591 for services to 24 patients in 2024.
Overview
| NPI | 1669948162 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 23, 2018 |
| Last updated in NPPES | May 12, 2020 |
| Certified by provider | May 12, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Pharmacy (LA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 24 |
|---|---|
| Services billed | 80 across 4 procedure codes |
| Paid by Medicare | $6,591 |
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