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BROADWAY PHARMACY CORPORATION
NPI 1104217165
Pharmacy in Lemon Grove, CA

Active since February 12, 2015
7600 PACIFIC AVE, LEMON GROVE, CA 91945(619) 717-8990(619) 717-8616 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2021, Jan 2, 2020 (2 updates tracked since 2020).

About Broadway Pharmacy Corporation NPPES

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

BROADWAY PHARMACY CORPORATION (NPI 1104217165), doing business as Broadway Pharmacy, is a healthcare organization registered as a pharmacy in Lemon Grove, California and active in the NPI registry since February 2015. The organization maintains a secondary practice location in Spring Valley and lists Vincent T Nguyen, Ceo/cfo/sec/dir, as its authorized official.

NPPES Registry Identity

NPI1104217165
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameBROADWAY PHARMACY CORPORATION
Location Address7600 PACIFIC AVELemon Grove, CA 91945
Mailing Address7600 Pacific AveLemon Grove, CA 91945 · (619) 717-8990 · Fax (619) 717-8616
Phone(619) 717-8990
Fax(619) 717-8616
Organization SubpartNo
Authorized OfficialVincent T NguyenCeo/cfo/sec/dir · (619) 600-7246
Enumeration DateFebruary 12, 2015
Last NPPES UpdateJanuary 27, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2021
✔ NPI 1104217165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in CA · RPH 53335
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
7600 PACIFIC AVE, Lemon Grove, CA 91945
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Other Names 1

Doing Business AsBroadway Pharmacy

Secondary Practice Location 1

Location 110225 Austin Dr Ste 103Spring Valley, CA 91978-1521 · Phone (619) 825-7733 · Fax (619) 825-7734

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 ›

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 Broadway Pharmacy Corporation's NPI number?

The NPI number for Broadway Pharmacy Corporation is 1104217165. It was assigned to this organization in the NPPES registry on February 12, 2015. The provider is doing business as Broadway Pharmacy.

Where is Broadway Pharmacy Corporation located?

Broadway Pharmacy Corporation is located at 7600 Pacific Ave, Lemon Grove, CA 91945. The listed phone number is (619) 717-8990.

What is Broadway Pharmacy Corporation's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does Broadway Pharmacy Corporation 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 47 other insurers list Broadway Pharmacy Corporation 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 Broadway Pharmacy Corporation was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.