East Broadway Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EAST BROADWAY PHARMACY LLC

Practice address

1712 N Velasco St Ste D
Angleton, TX 77515-3195

Phone

(281) 416-4439

NPI assigned

Jun 19, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Charles Mosely

Title

Officer

Phone

(281) 416-4439

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1245915040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 BROADWAY ST STE 105",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814379",
            "telephone_number": "281-416-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 N VELASCO ST STE D",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775153195",
            "telephone_number": "281-416-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BROADWAY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "MOSELY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "281-416-4439",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Kent Summers DC Chiropractic PLLC
• Virginia Gayle Dreyer, CCC-SLP
• Angela Lynn Dunbar, FNP
• Forrest Mann Dunn, D.D.S.
• Tanvi Dusane
• Peter F. Edemekong, MD, MPH
• Godwin Onwordi Elumelu
• John K Erskine, RPH
• Nora Etheridge
• Janine Renee Evans, LPC

• Community/Retail Pharmacy in Angleton, TX
• Providers in Angleton, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.