Organization Active NPI

Broadus Foods, Inc

Doing business as Broadus IGA

  • Pharmacy
  • Broadus, MT
National Provider Identifier
1669795647
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
BROADUS FOODS, INC
Doing business as
Broadus IGA
Broadus IGA Pharmacy
Practice address
120 S Park Avenue
Broadus, MT 59317-0549
Phone
(406) 436-2270
Fax
(406) 436-2362
NPI assigned
Mar 5, 2010
Last updated
Feb 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Jami Jo SchroederNPI 1760768873
Title
Pharmacist in Charge/Manager
Phone
(406) 436-2270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X 1305 MT
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

120 S Park Avenue
Broadus, MT 59317-0549

Mailing address

PO Box 549
Broadus, MT 59317-0549
Phone (406) 436-2270

Other names 2

  • Broadus IGA Doing business as
  • Broadus IGA Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1669795647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "BROADUS",
            "state": "MT",
            "postal_code": "593170549",
            "telephone_number": "406-436-2270",
            "fax_number": "406-436-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S PARK AVENUE",
            "city": "BROADUS",
            "state": "MT",
            "postal_code": "593170549",
            "telephone_number": "406-436-2270",
            "fax_number": "406-436-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADUS FOODS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-05",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "JAMI JO",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/MANAGER",
        "authorized_official_telephone_number": "406-436-2270"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "1305",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadus IGA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Broadus IGA Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Broadus IGA Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broadus, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.