Broadway Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

01868 Issued in TX

Legal business name

BROADWAY DRUG STORE INC

Practice address

2027 Broadway St
Galveston, TX 77550-4635

Phone

(409) 765-7701

Fax

(409) 762-2545

NPI assigned

Apr 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rita Williamson

Title

Owner

Phone

(409) 765-7701

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Diana Dow, R.PH.

  • Pharmacist
  • Galveston, TX
  • NPI 1922789510
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932323342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 BROADWAY ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775504635",
            "telephone_number": "409-765-7701",
            "fax_number": "409-762-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 BROADWAY ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775504635",
            "telephone_number": "409-765-7701",
            "fax_number": "409-762-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-765-7701"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "01868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TX0012",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "4520739",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dylan Edward Bridwell, DO
• Paul Brindley, MD
• Kimberly Brisbin, LCDC
• Allison Davis Britt, M.S., C.G.C
• Ashley Brizendine-Wijayawardana, MD
• Broadway Family Dental PLLC (Broadway Dental)
• Timothy David Brock, M.D.
• Brandon G Brockbank, MD
• Vickie Sue Broderick, PA
• Kimberley Christiane Brondeel

• Community/Retail Pharmacy in Galveston, TX
• Providers in Galveston, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.