BROADWAY PHARMACY
NPI 1164106175
Pharmacy - Community/Retail Pharmacy in Glendale, CA

Active since June 12, 2023
801 E BROADWAY STE A, GLENDALE, CA 91205(818) 945-0050(818) 937-9063 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 5, 2024, Dec 12, 2023, Jun 12, 2023 (3 updates tracked since 2023).

About Broadway Pharmacy NPPES

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

BROADWAY PHARMACY (NPI 1164106175) is a healthcare organization registered as a community/retail pharmacy in Glendale, California and active in the NPI registry since June 2023. The organization lists Ross Tarkhan, Owner, as its authorized official.

NPPES Registry Identity

NPI1164106175
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBROADWAY MED GROUP, INC
Location Address801 E BROADWAY STE AGlendale, CA 91205-4528
Mailing Address801 E Broadway Ste AGlendale, CA 91205-4528 · (818) 945-0050 · Fax (818) 937-9063
Fax(818) 937-9063
Organization SubpartNo
Authorized OfficialRoss TarkhanOwner · (818) 945-0050
Enumeration DateJune 12, 2023
Last NPPES UpdateFebruary 5, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
NPI 1164106175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
801 E BROADWAY STE A, Glendale, CA 91205

Other Names 1

Doing Business AsBroadway Pharmacy

Accepted 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 Med Group, Inc's NPI number?

The NPI number for Broadway Med Group, Inc is 1164106175. It was assigned to this organization in the NPPES registry on June 12, 2023. The provider is doing business as Broadway Pharmacy.

Where is Broadway Med Group, Inc located?

Broadway Med Group, Inc is located at 801 E Broadway Ste A, Glendale, CA 91205. The listed phone number is (818) 945-0050.

What is Broadway Med Group, Inc's specialty?

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

What insurance does Broadway Med Group, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 28 other insurers list Broadway Med Group, Inc 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 Med Group, Inc was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.