BROADWAY PHARMACY LLC (NPI# 1710251772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710251772 |
| Entity Type | Organization |
| Organization Name | BROADWAY PHARMACY LLC |
| Other Organization Name | BROADWAY PHARMACY LLC |
| Practice Address |
3334 Broadway Blvd Ste 412 Garland TX 75043-1575 |
| Mailing Address |
3334 Broadway Blvd #412 Garland TX 75043 |
| Practice Telephone | 9722789742 |
| Practice Fax Number | 9722789743 |
| Mailing Telephone | 9722789742 |
| Mailing Fax Number | 9722789743 |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | ABIGAIL NCHEKWUBE (PHARMACIST) |
| Authorized Official Telephone | 9722789742 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
27932 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2134141 | 01 | |
| TX | 146557 | 05 |
| Other Name | Type Code |
|---|---|
| Broadway Pharmacy LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821014358 | Broadway Pharmacy LLC | Pharmacy | 1645 E Baltimore St, Baltimore, MD 21231-1510 | 2006-07-15 |
| Street Address |
3334 BROADWAY BLVD STE 412 |
| City | GARLAND |
| State | TX |
| Zip Code | 75043-1575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811509672 | Hospice Angels, LLC. | Hospice Care, Community Based | 350 Oaks Trail, Suite # 201, Garland, TX 75043 | 2020-08-21 |
| 1639683212 | H&p Diagnostic Services LLC | Specialist/Technologist, Other | 310 E Interstate 30 Ste M105, Garland, TX 75043 | 2017-11-19 |
| 1013439934 | Shereen Raju Varughese | Nurse Practitioner | 2605 Claymore Avenue, Garland, TX 75043 | 2017-07-12 |
| 1558891176 | Eluzay LLC | Technician | 2302 Guthrie Road, Suite 140, Garland, TX 75043 | 2017-06-15 |
| 1841740065 | Francesca Crye Anokwute | Nurse Practitioner | 4514 Grantham Drive, Garland, TX 75043 | 2016-10-12 |
| 1013394329 | Amber M Murphy | Dietitian, Registered | 2435 N. Central Expwy, 12th Floor, Richardson, TX 75043 | 2015-05-06 |
| 1811303266 | Saint Jude Hospice and Palliative Care LLC | Hospice Care, Community Based | 346 Oaks Trail #225, Garland, TX 75043 | 2014-07-07 |
| 1992149306 | Richard Shad Hattaway | Dentist | 6452 Broadway Boulevard, Garland, TX 75043 | 2013-04-29 |
| 1407106370 | Jennifer Frances Burtt | Physician Assistant | 545 Interstate 30 Frontage Rd, Mesquite, TX 75043 | 2012-09-18 |
| 1083991319 | Vidya Suri Dds Pa | Dentist | 6521 Duck Creek Dr, Garland, TX 75043 | 2011-11-15 |
| Find all providers in zip 75043 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984922 | Vitora Ventures Inc | Pharmacy | 138 W. Centerville Rd # 100, Garland, TX 75041 | 2020-05-20 |
| 1992338438 | Md2rx LLC | Pharmacy | 2722 W Kingsley Rd Ste 102, Garland, TX 75041-2407 | 2020-02-12 |
| 1134788813 | Tot Pharmacy | Pharmacy | 520 N Jupiter Rd Ste A, Garland, TX 75042-5477 | 2019-06-06 |
| 1164981510 | Gatewood Pharmacy Pllc | Pharmacy | 4402 Broadway Blvd Ste 6a, Garland, TX 75043-8266 | 2019-03-15 |
| 1881105724 | Ridgewood Pharmacy LLC | Pharmacy | 119 W Kingsley Rd Ste 122, Garland, TX 75041-3432 | 2017-10-18 |
| 1235664079 | Sayf Corp. | Pharmacy | 333 N Shiloh Rd Ste 109, Garland, TX 75042-6613 | 2017-05-01 |
| 1346692183 | Edith W Achebodt | Pharmacy | 410 N Shiloh Rd # 102, Garland, TX 75042-6614 | 2016-07-05 |
| 1902276231 | Brandy Pharmacy Corp | Pharmacy | 2241 Peggy Ln Ste B, Garland, TX 75042-5709 | 2015-09-29 |
| 1477893733 | Medworld Pharmacy Inc | Pharmacy | 2351 Merritt Dr, Ste B, Garland, TX 75041-6140 | 2013-02-25 |
| 1497002828 | Baylor Health Enterprises Lp | Pharmacy | 7217 Telecom Pkwy Ste 190, Garland, TX 75044-2203 | 2012-08-03 |
| Find all providers in GARLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.