BROADWATER DRUG
NPI 1548286024
Pharmacy - Community/Retail Pharmacy in Gate City, VA

Q: What is Broadwater Drug, Inc's NPI number?

The NPI number for Broadwater Drug, Inc is 1548286024. It was assigned to this organization in the NPPES registry on July 15, 2006. The provider is doing business as Broadwater Drug.

Q: What is Broadwater Drug, Inc's specialty?

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

Active since July 15, 2006

166 E JACKSON ST, GATE CITY, VA 24251(276) 386-3821(276) 386-7582 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Broadwater Drug NPPES

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

BROADWATER DRUG (NPI 1548286024) is a healthcare organization registered as a community/retail pharmacy in Gate City, Virginia and active in the NPI registry since July 2006. The organization lists Anthony Ray Street, Owner-pharmacist, as its authorized official.

NPPES Registry Identity

NPI1548286024

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameBROADWATER DRUG, INC

Location Address166 E JACKSON STGate City, VA 24251-3417

Mailing Address166 E Jackson StGate City, VA 24251-3417 · (276) 386-3821 · Fax (276) 386-7582

Phone(276) 386-3821

Fax(276) 386-7582

Organization SubpartNo

Authorized OfficialAnthony Ray StreetOwner-pharmacist · (276) 386-3821

Enumeration DateJuly 15, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1548286024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in VA · 0201000069

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.

166 E JACKSON ST, Gate City, VA 24251

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Other Names 1

Doing Business AsBroadwater Drug

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 Broadwater Drug, Inc's NPI number?

The NPI number for Broadwater Drug, Inc is 1548286024. It was assigned to this organization in the NPPES registry on July 15, 2006. The provider is doing business as Broadwater Drug.

Where is Broadwater Drug, Inc located?

Broadwater Drug, Inc is located at 166 E Jackson St, Gate City, VA 24251. The listed phone number is (276) 386-3821.

What is Broadwater Drug, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Broadwater Drug, Inc 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 6 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.