The Broadway Group, LLC

Primary specialty

PharmacistTaxonomy code 183500000X

Legal business name

THE BROADWAY GROUP, LLC

Doing business as

The Medicine Man Discount Pharmacy

Practice address

3822 Broadway
Suite C
Fort Myers, FL 33901-8148

Phone

(239) 274-3004

NPI assigned

Nov 1, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Kristen J Touhey

Title

MMBR

Phone

(239) 368-9994

Specialties & licenses 1

Addresses

Other names 1

• The Medicine Man Discount Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1730489287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 LEE BLVD",
            "address_2": "SUITE 108",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364953",
            "telephone_number": "239-368-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3822 BROADWAY",
            "address_2": "SUITE C",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018148",
            "telephone_number": "239-274-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BROADWAY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "TOUHEY",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MMBR",
        "authorized_official_telephone_number": "239-368-9994",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Man Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.