West Broad Med Phcy Inc

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

WEST BROAD MED PHCY INC

Doing business as

West Broad Medical Phcy

Practice address

2575 W Broad St
Columbus, OH 43204-3333

Phone

(614) 279-7722

Fax

(614) 279-7723

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Tracy Hammond

Title

Third Party Admin

Phone

(614) 481-4272

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• WEST BROAD MEDICAL PHCY Doing business as

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1669550174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432043333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432043333",
            "telephone_number": "614-279-7722",
            "fax_number": "614-279-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BROAD MED PHCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "THIRD PARTY ADMIN",
        "authorized_official_telephone_number": "614-481-4272"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0571966",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3643144",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST BROAD MEDICAL PHCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic Pharmacy in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinic Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.