Nelson L Showalter Ta Broadway Drug Center

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NELSON L SHOWALTER TA BROADWAY DRUG CENTER

Practice address

169 E Springbrook Rd
Broadway, VA 22815-9526

Phone

(540) 896-3251

Fax

(540) 896-5411

NPI assigned

Nov 4, 2005

Last updated

Aug 22, 2020By 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 1

Other names 1

• Broadway Drug Center, LLC Other name

Tax ID family

Broadway Drug Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nelson L Showalte Ta Broadway Drug Center

  • Community/Retail Pharmacy
  • Broadway, VA
  • NPI 1053392134
  NPD tax ID

Locations

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": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417948738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 E SPRINGBROOK RD",
            "address_2": "PO BOX 245",
            "city": "BROADWAY",
            "state": "VA",
            "postal_code": "228159526",
            "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": "228159526",
            "telephone_number": "540-896-3251",
            "fax_number": "540-896-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON L SHOWALTER TA BROADWAY DRUG CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2020-08-22",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0139073000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Drug Center, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nichelle Renee McDaniel Flowers, MA, LPC
• Brenda McGillivray Smith, LPC LMFT
• Cheryl Leah Miller, FNP-C
• Logan Daniel Morrison, DPT
• Nelson L Showalte Ta Broadway Drug Center
• Melissa Lynn Oczkowski
• Anna Elizabeth Patterson
• Dale Pickett III, MS, NCC
• Donald Edward Rellins Jr., DDS
• Jill Frankhouser Rice, MS

• Durable Medical Equipment & Medical Supplies in Broadway, VA
• Providers in Broadway, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• 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.