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JOSHUA JEFFREY BROADWAY
NPI 1104426410
Pharmacist in St Johns, FL

Active since October 27, 2020
845 DURBIN PAVILION DR, ST JOHNS, FL 32259(904) 417-9675(904) 417-9671 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joshua Jeffrey Broadway NPPES

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

JOSHUA JEFFREY BROADWAY (NPI 1104426410) is an individual pharmacist in St Johns, Florida, licensed in Florida (PS43893) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1104426410
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJOSHUA JEFFREY BROADWAY
Location Address845 DURBIN PAVILION DRSt Johns, FL 32259-4119
Mailing Address5301 Winrose Falls DrJacksonville, FL 32258-2582 · (904) 568-6225
Phone(904) 417-9675
Fax(904) 417-9671
Sole ProprietorNo
Enumeration DateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
✔ NPI 1104426410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in FL · PS43893
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
845 DURBIN PAVILION DR, St Johns, FL 32259
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WAL-MART STORES EAST , LP
Technician/Technologist (Optician)
845 DURBIN PAVILION DR
SAINT JOHNS, FL 32259
St. Johns County (479) 277-9170
DAVID ROBERT RAY JR.
Technician/Technologist (Optician)
845 DURBIN PAVILION DR
ST JOHNS, FL 32259
St. Johns County (904) 417-9670
WAL-MART STORES EAST, LP
Pharmacy (Community/Retail Pharmacy)
845 DURBIN PAVILION DR
SAINT JOHNS, FL 32259
St. Johns County (479) 277-9170
DEEPAKKUMAR SHAH
Pharmacist
845 DURBIN PAVILION DR
ST JOHNS, FL 32259
St. Johns County (904) 417-9675

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 Joshua Broadway's NPI number?

The NPI number for Joshua Broadway is 1104426410. It was assigned to this individual provider in the NPPES registry on October 27, 2020.

Where is Joshua Broadway located?

Joshua Broadway practices at 845 Durbin Pavilion Dr, St Johns, FL 32259. The listed phone number is (904) 417-9675.

What is Joshua Broadway's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Joshua Broadway was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.