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BROADWAY LTC PHARMACY, INC.
NPI 1821082504
Pharmacist in Sacramento, CA

Active since September 08, 2005
3330 BROADWAY, SACRAMENTO, CA 95817(916) 452-8022(916) 452-6326 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broadway Ltc Pharmacy, Inc. NPPES

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

BROADWAY LTC PHARMACY, INC. (NPI 1821082504) is a healthcare organization registered as a pharmacist in Sacramento, California and active in the NPI registry since September 2005. The organization lists David Carroll, Ceo, as its authorized official.

NPPES Registry Identity

NPI1821082504
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameBROADWAY LTC PHARMACY, INC.
Location Address3330 BROADWAYSacramento, CA 95817-2840
Mailing Address4545 Harlin DrSacramento, CA 95826-9716 · (916) 364-2416
Phone(916) 452-8022
Fax(916) 452-6326
Organization SubpartNo
Authorized OfficialDavid CarrollCeo · (916) 364-2418
Enumeration DateSeptember 8, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1821082504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · PHY44334
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.
3330 BROADWAY, Sacramento, CA 95817
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Other Identifiers 1

MedicaidPHA443340CA

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

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 Ltc Pharmacy, Inc.'s NPI number?

The NPI number for Broadway Ltc Pharmacy, Inc. is 1821082504. It was assigned to this organization in the NPPES registry on September 8, 2005.

Where is Broadway Ltc Pharmacy, Inc. located?

Broadway Ltc Pharmacy, Inc. is located at 3330 Broadway, Sacramento, CA 95817. The listed phone number is (916) 452-8022.

What is Broadway Ltc Pharmacy, Inc.'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 Ltc Pharmacy, 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 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.