Organization Active NPI

Broadway Pharmacy

  • Long Term Care Pharmacy
  • Santa Maria, CA
National Provider Identifier
1538065412
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BROADWAY PHARMACY
Practice address
2530 S Broadway Ste F
Santa Maria, CA 93454-7880
Phone
(805) 894-3711
Fax
(805) 894-8384
NPI assigned
Oct 16, 2026
Last updated
Oct 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Authorized official

Name
Andy Duc Hien Duong
Title
Pic
Phone
(805) 894-3711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

2530 S Broadway Ste F
Santa Maria, CA 93454-7880

Mailing address

2530 S Broadway Ste F
Santa Maria, CA 93454-7880
Phone (805) 894-3711

NPI Registry JSON

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

{
    "created_epoch": "1792108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792108800000",
    "number": "1538065412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 S BROADWAY STE F",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547880",
            "telephone_number": "805-894-3711",
            "fax_number": "805-894-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 S BROADWAY STE F",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547880",
            "telephone_number": "805-894-3711",
            "fax_number": "805-894-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "ANDY DUC",
        "authorized_official_middle_name": "HIEN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "805-894-3711"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.