Organization Active NPI

Broadway Pharmacy LLC

  • Community/Retail Pharmacy
  • Garland, TX
National Provider Identifier
1710251772
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27932 Issued in TX
Legal business name
BROADWAY PHARMACY LLC
Doing business as
Broadway Pharmacy LLC
Practice address
3334 Broadway Blvd Ste 412
Garland, TX 75043-1575
Phone
(972) 278-9742
Fax
(972) 278-9743
NPI assigned
Mar 8, 2012
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Abigail Nchekwube, PHARMD
Title
Pharmacist
Phone
(972) 278-9742

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 27932 TX Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

3334 Broadway Blvd Ste 412
Garland, TX 75043-1575

Mailing address

3334 Broadway Blvd
#412
Garland, TX 75043
Phone (972) 278-9742

Other identifiers 2

IdentifierTypeStateIssuer
146557MedicaidTX
2134141OtherPK

Other names 1

  • Broadway Pharmacy LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1710251772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 BROADWAY BLVD",
            "address_2": "#412",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75043",
            "telephone_number": "972-278-9742",
            "fax_number": "972-278-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 BROADWAY BLVD STE 412",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431575",
            "telephone_number": "972-278-9742",
            "fax_number": "972-278-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "NCHEKWUBE",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "972-278-9742",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27932",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146557",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134141",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.