DYLAN BROADWATER
NPI 1568016103
Pharmacist in Fairchild Afb, WA

Active since July 31, 2019
701 HOSPITAL LOOP, FAIRCHILD AFB, WA 99011(509) 247-3355 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dylan Broadwater NPPES

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

DYLAN BROADWATER (NPI 1568016103) is an individual pharmacist in Fairchild Afb, Washington, licensed in Colorado (PHA.0022534) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1568016103
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDYLAN BROADWATER
Location Address701 HOSPITAL LOOPFairchild Afb, WA 99011-8704
Mailing Address8433a Bear LoopMountain Home Afb, ID 83648-5101 · (386) 225-0011
Sole ProprietorNo
Enumeration DateJuly 31, 2019
Last NPPES UpdateJune 30, 2023
NPPES CertifiedJune 30, 2023
NPI 1568016103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CO · PHA.0022534
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.
701 HOSPITAL LOOP, Fairchild Afb, WA 99011

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Social Worker (Clinical)
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Internal Medicine
701 HOSPITAL LOOP
FAIRCHILD AIR FORCE BASE, WA 99011
Physician Assistant
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Pediatrics
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Nurse Practitioner (Family)
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Clinic/Center (Military/U.S. Coast Guard Outpatient)
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Pediatrics
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011

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 Dylan Broadwater's NPI number?

The NPI number for Dylan Broadwater is 1568016103. It was assigned to this individual provider in the NPPES registry on July 31, 2019.

Where is Dylan Broadwater located?

Dylan Broadwater practices at 701 Hospital Loop, Fairchild Afb, WA 99011. The listed phone number is (509) 247-3355.

What is Dylan Broadwater'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 Dylan Broadwater was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.