BROAD STREET PHARMACY, INC
NPI 1710913355
Pharmacy - Community/Retail Pharmacy in Chesaning, MI
About Broad Street Pharmacy, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROAD STREET PHARMACY, INC (NPI 1710913355) is a healthcare organization registered as a community/retail pharmacy in Chesaning, Michigan and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through January 22, 2027 and lists Tamara Elizabeth Mason, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
Other Identifiers 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 23D2275442
Broad Street Pharmacy · Chesaning, MIAreas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHESANING, MI 48616
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 Broad Street Pharmacy, Inc's NPI number?
The NPI number for Broad Street Pharmacy, Inc is 1710913355. It was assigned to this organization in the NPPES registry on June 24, 2006.
Where is Broad Street Pharmacy, Inc located?
Broad Street Pharmacy, Inc is located at 1115 W Broad St, Chesaning, MI 48616. The listed phone number is (989) 845-9355.
What is Broad Street Pharmacy, Inc's specialty?
The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.
Does Broad Street Pharmacy, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2275442) is associated with this NPI, valid through January 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Broad Street Pharmacy, Inc accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Broad Street Pharmacy, 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 Broad Street Pharmacy, Inc was last updated on November 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
