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BROADWAY PHARMACY
NPI 1144321084
Pharmacy in Wichita, KS

Active since September 25, 2006
1610 S BROADWAY ST, WICHITA, KS 67211(316) 260-8880(316) 260-8881 Get Directions Write a Review

NPPES record last updated: June 25, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broadway Pharmacy NPPES

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

BROADWAY PHARMACY (NPI 1144321084) is a healthcare organization registered as a pharmacy in Wichita, Kansas and active in the NPI registry since September 2006. The organization lists David B Bergen, President / Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1144321084
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameBROADWAY PHARMACY PA
Location Address1610 S BROADWAY STWichita, KS 67211-4119
Mailing Address1610 S Broadway StWichita, KS 67211-4119 · (316) 260-8880 · Fax (316) 260-8881
Phone(316) 260-8880
Fax(316) 260-8881
Organization SubpartNo
Authorized OfficialDavid B BergenPresident / Pharmacist · (316) 260-8880
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJune 25, 2015
✔ NPI 1144321084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in KS · 209952
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.
1610 S BROADWAY ST, Wichita, KS 67211
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Other Names 1

Other NameBroadway Pharmacy

Other Identifiers 3

Other1718305KS · Ncpdp
Medicaid200268670AKS
Medicare NSC5364340001KS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter 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 PA's NPI number?

The NPI number for Broadway Pharmacy PA is 1144321084. It was assigned to this organization in the NPPES registry on September 25, 2006. The provider is also known as Broadway Pharmacy.

Where is Broadway Pharmacy PA located?

Broadway Pharmacy PA is located at 1610 S Broadway St, Wichita, KS 67211. The listed phone number is (316) 260-8880.

What is Broadway Pharmacy PA's specialty?

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

What insurance does Broadway Pharmacy PA accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Broadway Pharmacy PA 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 PA was last updated on June 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.