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BROADWAY & MAIN PHARMACY
NPI 1073086807
Pharmacy - Community/Retail Pharmacy in Newport, TN

Active since January 04, 2019
136 E. BROADWAY, NEWPORT, TN 37821(423) 720-9777(423) 720-9778 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2024, Mar 19, 2021, Mar 9, 2021 and 3 more (6 updates tracked since 2019).

About Broadway & Main Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADWAY & MAIN PHARMACY (NPI 1073086807) is a healthcare organization registered as a community/retail pharmacy in Newport, Tennessee and active in the NPI registry since January 2019. The organization lists Justin Kickliter, Pic, as its authorized official.

NPPES Registry Identity

NPI1073086807
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKV MEDICAL LLC.
Location Address136 E. BROADWAYNewport, TN 37821-2323
Mailing Address136 E. BroadwayNewport, TN 37821-2323 · (423) 720-9777 · Fax (423) 720-9778
Phone(423) 720-9777
Fax(423) 720-9778
Organization SubpartNo
Authorized OfficialJustin KickliterPic · (423) 720-9777
Enumeration DateJanuary 4, 2019
Last NPPES UpdateJuly 8, 20246 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1073086807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X
136 E. BROADWAY, Newport, TN 37821
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Other Names 1

Doing Business AsBroadway & Main Pharmacy

Other Identifiers 2

MedicaidQ046150TN
Other6866TN · Broadway & Main License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
20 services20 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kv Medical LLC.'s NPI number?

The NPI number for Kv Medical LLC. is 1073086807. It was assigned to this organization in the NPPES registry on January 4, 2019. The provider is doing business as Broadway & Main Pharmacy.

Where is Kv Medical LLC. located?

Kv Medical LLC. is located at 136 E. Broadway, Newport, TN 37821. The listed phone number is (423) 720-9777.

What is Kv Medical LLC.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Kv Medical LLC. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Kv Medical LLC. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kv Medical LLC. was last updated on July 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.