Broadway Pharmacy Pa
Pharmacy
1610 S Broadway St, Wichita
Kansas, 67211-4119
316-260-8880 316-260-8881
Broadway Pharmacy Pa is a Pharmacy in Wichita, Kansas. 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 Pa 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 Pa is 209952 for Pharmacy in Kansas. Broadway Pharmacy Pa accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Broadway Pharmacy Pa 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 Pa 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 Pa |
| 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 Pa 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 Pa 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 Pa at
1610 S Broadway St, Wichita, Kansas or can
call on customer care at 316-260-8880.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.