Organization Active NPI

Broadway Pharmacy

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1811323454
Registry record updated Sep 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28788 Issued in TX
Legal business name
BROADWAY PHARMACY
Practice address
3744 Broadway St
C
Houston, TX 77017-3046
Phone
(832) 885-7061
Fax
(713) 450-0028
NPI assigned
Sep 14, 2013
Last updated
Sep 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2013

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

Authorized official

Name
Dr. Tan Duy Nguyen, PHARMD
Title
Owner/Pharamcist
Phone
(832) 885-7061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28788 TX Primary

Addresses

Primary practice location

3744 Broadway St
C
Houston, TX 77017-3046

Mailing address

3744 Broadway St
C
Houston, TX 77017-3046
Phone (832) 885-7061

National Provider Directory

National Provider Directory

Locations

3744 Broadway St
#C
Houston, TX 77017
Phone (346) 223-1374

NPI Registry JSON

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

{
    "created_epoch": "1379116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379116800000",
    "number": "1811323454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3744 BROADWAY ST",
            "address_2": "C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770173046",
            "telephone_number": "832-885-7061",
            "fax_number": "713-450-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3744 BROADWAY ST",
            "address_2": "C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770173046",
            "telephone_number": "832-885-7061",
            "fax_number": "713-450-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-14",
        "last_updated": "2013-09-14",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TAN",
        "authorized_official_middle_name": "DUY",
        "authorized_official_title_or_position": "OWNER/PHARAMCIST",
        "authorized_official_telephone_number": "832-885-7061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2013; 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.