1. Home
  2. Directory
  3. California
  4. Anaheim
  5. Pharmacist
  6. NPI Profile

BROADWAY MEDICAL PHARMACY
NPI 1154461085
Pharmacist in Anaheim, CA

Active since February 08, 2007
1673 W BROADWAY STE 1, ANAHEIM, CA 92802(714) 772-3630(714) 772-3631 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Broadway Medical Pharmacy NPPES

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

BROADWAY MEDICAL PHARMACY (NPI 1154461085) is a healthcare organization registered as a pharmacist in Anaheim, California and active in the NPI registry since February 2007. The organization lists Van Phi Le, Direct Owner, as its authorized official.

NPPES Registry Identity

NPI1154461085
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameBROADWAY MEDICAL PHARMACY
Location Address1673 W BROADWAY STE 1Anaheim, CA 92802-1109
Mailing Address1673 W. Broadway Suit #1Anaheim, CA 92802 · (714) 772-3630 · Fax (714) 772-3631
Phone(714) 772-3630
Fax(714) 772-3631
Organization SubpartNo
Authorized OfficialVan Phi LeDirect Owner · (714) 772-3630
Enumeration DateFebruary 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1154461085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · PHY40768
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.
1673 W BROADWAY STE 1, Anaheim, CA 92802
Open in Google Maps ↗

Other Identifiers 1

MedicaidPHA407680CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

VAN P LE
Pharmacist
1673 W BROADWAY STE 1
ANAHEIM, CA 92802
Orange County (714) 772-3630
BROADWAY MEDICAL PHARMACY
Pharmacy (Community/Retail Pharmacy)
1673 W BROADWAY STE 1
ANAHEIM, CA 92802
Orange County (714) 772-3630

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 Medical Pharmacy's NPI number?

The NPI number for Broadway Medical Pharmacy is 1154461085. It was assigned to this organization in the NPPES registry on February 8, 2007.

Where is Broadway Medical Pharmacy located?

Broadway Medical Pharmacy is located at 1673 W Broadway Ste 1, Anaheim, CA 92802. The listed phone number is (714) 772-3630.

What is Broadway Medical Pharmacy'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 Broadway Medical Pharmacy was last updated on August 22, 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.