Organization Active NPI

Broadway Inc.

  • Pharmacotherapy Pharmacist
  • Salt Lake City, UT
National Provider Identifier
1124180526
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
1173051703 Issued in UT
Legal business name
BROADWAY INC.
Practice address
242 E Broadway
Salt Lake City, UT 84111-2419
Phone
(801) 363-3939
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Christopher Gus Sotiriou, PHARMD
Title
Owner
Phone
(801) 363-3939

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 1173051703 UT
Pharmacotherapy PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1835P1200X 1173051703 UT Primary

Addresses

Primary practice location

242 E Broadway
Salt Lake City, UT 84111-2419

Mailing address

242 E Broadway
Salt Lake City, UT 84111-2419
Phone (801) 363-3939

Other names 1

  • Broadway Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

242 E Broadway
Salt Lake City, UT 84111
Phone (801) 363-3939

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1124180526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 E BROADWAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112419",
            "telephone_number": "801-363-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 E BROADWAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112419",
            "telephone_number": "801-363-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SOTIRIOU",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "GUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-363-3939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "1173051703",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "UT",
            "license": "1173051703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.