Active NPI
Erin Allison Broadhead, PHARMD
- Pharmacist
- Denton, TX
National Provider Identifier
1073197703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67678
- Practice address
- 4400 Teasley LN Ste 100
Denton, TX 76210-4651 - Phone
- (940) 382-1618
- NPI assigned
- May 10, 2021
- Last updated
- Jul 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 67678 | TX | Primary |
Addresses
Primary practice location
4400 Teasley LN Ste 100
Denton, TX 76210-4651
Mailing address
5500 Somerset Dr Apt 213
The Colony, TX 75056-4898
Phone (940) 765-4573
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67678 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corinth Community Pharmacy, LLC. | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Community Pharmacy
- Community/Retail Pharmacy
- Corinth, TX
- NPI 1609403716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626134400000",
"number": "1073197703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 SOMERSET DR APT 213",
"city": "THE COLONY",
"state": "TX",
"postal_code": "750564898",
"telephone_number": "940-765-4573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 TEASLEY LN STE 100",
"city": "DENTON",
"state": "TX",
"postal_code": "762104651",
"telephone_number": "940-382-1618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROADHEAD",
"first_name": "ERIN",
"middle_name": "ALLISON",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-10",
"last_updated": "2021-07-13",
"certification_date": "2021-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "67678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.