Organization Active NPI

Broadway Pharmacy

  • Community/Retail Pharmacy
  • Santa Maria, CA
National Provider Identifier
1629947437
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BROADWAY PHARMACY
Practice address
2530 S Broadway Ste F
Santa Maria, CA 93454-7880
Phone
(714) 360-2152
NPI assigned
Oct 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Authorized official

Name
Vincent Tai Minh Dang, PHARMD
Title
Owner
Phone
(714) 360-2152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 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 (714) 360-2152

National Provider Directory

National Provider Directory

Locations

2530 S Broadway
Ste F
Santa Maria, CA 93454
Phone (714) 360-2152

NPI Registry JSON

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1629947437",
    "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": "714-360-2152"
        },
        {
            "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": "714-360-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "VINCENT TAI",
        "authorized_official_middle_name": "MINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-360-2152",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "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 30, 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.