Active NPI
Joseph T Broadway, RPH
- Pharmacist
- Lexington, SC
National Provider Identifier
1114478344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6752
- Practice address
- 119 Greenside Dr
Lexington, SC 29072-8215 - Phone
- (803) 278-2476
- Fax
- (803) 278-2405
- NPI assigned
- Oct 24, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6752 | SC | Primary |
| Pharmacist | 183500000X | 7526 | NC |
Addresses
Primary practice location
119 Greenside Dr
Lexington, SC 29072-8215
Mailing address
135 Market Plaza Dr.
North Augusta, SC 29860-9274
Phone (803) 278-2476
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7526 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Food Lion, LLC | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1114478344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 MARKET PLAZA DR.",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298609274",
"telephone_number": "803-278-2476",
"fax_number": "803-278-2405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 GREENSIDE DR",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290728215",
"telephone_number": "803-278-2476",
"fax_number": "803-278-2405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROADWAY",
"first_name": "JOSEPH",
"middle_name": "T",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-24",
"last_updated": "2016-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "6752",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "7526",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.