Broadway Pharmacy is an authorized DME supplier for medicare equipments and products.
Broadway Pharmacy is a Pharmacy in Wichita, Kansas. This pharmacy is owned and operated by Broadway Pharmacy Pa. It is located at 1610 S Broadway St, Wichita and it's customer support contact number is 316-260-8880. The authorized person of Broadway Pharmacy is Mr. David B Bergen, RPH who is President / Pharmacist of the pharmacy and his contact number is 316-260-8880. Active license number of Broadway Pharmacy is 209952 for Pharmacy in Kansas. Broadway Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Broadway Pharmacy is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Broadway Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Broadway Pharmacy
Type:
Pharmacy
Location:
1610 S Broadway St, Wichita, Kansas, 67211-4119
Phone:
316-260-8880
Fax:
316-260-8881
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Mr. David B Bergen
Credentials:
RPH
Position:
President / Pharmacist
Contact Number:
316-260-8880
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1144321084
NPI Enumeration Date:
25 Sep, 2006
NPI Last Update On:
25 Jun, 2015
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Broadway Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Pharmacy
209952
Kansas
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1718305
Other
Kansas
Ncpdp
200268670A
Medicaid
Kansas
Medicare Enrollment:
Broadway Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
8426244849
O20101124000972
Broadway Pharmacy Pa
PART B SUPPLIER - OTHER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1610 S Broadway St, Wichita, Kansas
Zip:
67211-4119
Phone Number:
316-260-8880
Fax Number:
316-260-8881
Patients can reach Broadway Pharmacy at 1610 S Broadway St, Wichita, Kansas or can call on customer care at 316-260-8880.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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