Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

3890 Broadway Pharmacy IV, Inc

Organization Pharmacy · NPI 1790766103

3890 Broadway Pharmacy IV, Inc is a Pharmacy in New York, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3898 Broadway
New York, NY 10032
Phone: (212) 568-0975
Fax: (212) 568-0976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 027458 (NY)

Record details

NPI number1790766103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Haydee Meregildo — Owner · (212) 568-0975
NPI enumeratedNovember 11, 2005
Last updated in NPPESSeptember 15, 2008
Mailing address3898 Broadway, New York, NY 10032

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