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BROAD STREET PHARMACY, INC
NPI 1952864951
Pharmacy - Long Term Care Pharmacy in Chesaning, MI

Active since April 08, 2019
1115 W BROAD ST, CHESANING, MI 48616(989) 845-9355(989) 845-9356 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2025, Apr 8, 2019 (2 updates tracked since 2019).

About Broad Street Pharmacy, Inc NPPES

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

BROAD STREET PHARMACY, INC (NPI 1952864951) is a healthcare organization registered as a long term care pharmacy in Chesaning, Michigan and active in the NPI registry since April 2019. The organization lists Tamara Elizabeth Mason, Owner, as its authorized official.

NPPES Registry Identity

NPI1952864951
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameBROAD STREET PHARMACY, INC
Location Address1115 W BROAD STChesaning, MI 48616-1068
Mailing Address1115 W Broad StChesaning, MI 48616-1068 · (989) 845-9355 · Fax (989) 845-9356
Phone(989) 845-9355
Fax(989) 845-9356
Organization SubpartYesParent: Broad Street Pharmacy, Ltc
Authorized OfficialTamara Elizabeth MasonOwner · (989) 845-9355
Enumeration DateApril 8, 2019
Last NPPES UpdateNovember 6, 20252 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1952864951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
1115 W BROAD ST, Chesaning, MI 48616
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Other Names 1

Other NameBroad Street Pharmacy, Ltc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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.

MRS. BETH ANN TOMAC CPHT
Pharmacy Technician
1115 W BROAD ST
CHESANING, MI 48616
Saginaw County (989) 845-9355
SARAH FRANCES MAHONEY PHARMD
Pharmacist
1115 W BROAD ST
CHESANING, MI 48616
Saginaw County (989) 845-9355
BROAD STREET PHARMACY, INC
Pharmacy (Community/Retail Pharmacy)
1115 W BROAD ST
CHESANING, MI 48616
Saginaw County (989) 845-9355
DR. RYAN EDWARD RIEDER PHARMD
Pharmacist
1115 W BROAD ST
CHESANING, MI 48616
Saginaw County (989) 845-9355
DR. GREG JOSEPH JENKINSON PHARMD
Pharmacist
1115 W BROAD ST
CHESANING, MI 48616
Saginaw County (989) 845-9355
SOBAKS HOME MEDICAL INC.
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1115 W BROAD ST
CHESANING, MI 48616
Saginaw County (989) 845-8927

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 1952864951. It was assigned to this organization in the NPPES registry on April 8, 2019. The provider is also known as Broad Street Pharmacy, Ltc.

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 Long Term Care Pharmacy, with taxonomy code 3336L0003X.

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 40 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.