The Broadway Company

Primary specialty

PharmacistTaxonomy code 183500000X

License

111 Issued in MT

Legal business name

THE BROADWAY COMPANY

Doing business as

Lewistown Pharmacy

Practice address

210 W Main St
Lewistown, MT 59457-2702

Phone

(406) 538-8128

Fax

(406) 535-5331

NPI assigned

Feb 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Charles William Wicks, RPH

Title

President

Phone

(406) 538-8128

Specialties & licenses 1

Addresses

Other names 1

• Lewistown Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114062932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W MAIN ST",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594572702",
            "telephone_number": "406-538-8128",
            "fax_number": "406-535-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W MAIN ST",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594572702",
            "telephone_number": "406-538-8128",
            "fax_number": "406-535-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BROADWAY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WICKS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-538-8128",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewistown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laurie Sweeney, LCSW, LAC
• Megan Alese Sweeney
• Garrett Harlan Taylor, MD
• Richard N Taylor Jr., M.D.
• Kathleen Zoe Thackeray, OTR/L
• The Montana Clinic, PC
• Edward Donnall Thomas Jr., M.D.
• Total Family Care PLLP
• Christine Ann Tremain, LCPC
• Troop Family Medicine

• Pharmacist in Lewistown, MT
• Providers in Lewistown, MT by specialty
• Pharmacist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.