Broadway Drug Center, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201002376 Issued in VA

Legal business name

BROADWAY DRUG CENTER, LLC

Practice address

169 E Springbrook Rd
Broadway, VA 22815-0245

Phone

(540) 896-3251

NPI assigned

Nov 13, 2006

Last updated

Jan 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nelson L Showalter, RPHNPI 1780280040

Title

Owner

Phone

(540) 896-3251

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nelson Showalter

  • Pharmacist
  • Broadway, VA
  • NPI 1780280040
  Authorized official Same address or phone

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1407927197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245",
            "city": "BROADWAY",
            "state": "VA",
            "postal_code": "228150245",
            "telephone_number": "540-896-3251",
            "fax_number": "540-896-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 E SPRINGBROOK RD",
            "city": "BROADWAY",
            "state": "VA",
            "postal_code": "228150245",
            "telephone_number": "540-896-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY DRUG CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "SHOWALTER",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-896-3251",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201002376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0139073000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010366232",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Bell, RPH
• George Alexander Bentrem II, M.D.
• Bickham Counseling PLLC
• Joanna Bickham, LPC
• Megan Bonaventura
• Broadway Drug Center, LLC
• Broadway Family Practice, PC
• Bryan J Callahan, PT, DPT
• Jacob Austin Canfield, MD
• Rebecca Lynne Chandler, M.S. CCC-SLP

• Community/Retail Pharmacy in Broadway, VA
• Providers in Broadway, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.