Justin Broadway, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD13232 Issued in AR

Practice address

606 S Park St
Pocahontas, AR 72455-3132

Phone

(870) 892-5517

NPI assigned

Jan 22, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• City Pharmacy Inc

  • Long Term Care Pharmacy
  • Pocahontas, AR
  • NPI 1407732977
  NPD Authorized official
• City Pharmacy Inc

  • Community/Retail Pharmacy
  • Pocahontas, AR
  • NPI 1982719902
  NPD

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1962092080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 HAMPTON",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724551463",
            "telephone_number": "870-378-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 S PARK ST",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724553132",
            "telephone_number": "870-892-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADWAY",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD13232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skyler N Brewer, LCSW
• Holly T Brigance, APRN-BC
• Teresa Ann Britt, M.C.D., C.C.C.-SLP
• Amber Dawn Broadway, MCD, CFY-SLP
• Christy A Broadway
• Alison Brooks, MHPP
• Kaleb Jarrett Brown, PT
• Kaylin Brown, OTR/L
• Tiffany Brumley, APRN
• Andrew C Bryson, M.D.

• All providers in Pocahontas, AR
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.