OrganizationActive
Broadway Clinic Pharmacy Inc
NPI 1043589062 · Community/Retail Pharmacy · Kermit, WV
Broadway Clinic Pharmacy Inc is a Community/Retail Pharmacy organization in Kermit, WV (NPI 1043589062).
Provider details
- NPI number
- 1043589062
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Steve Williams, President(606) 253-1266
- License
- MP0552396 (WV)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
50 Lincoln St
Kermit, WV 25674
Phone: (304) 393-3386
Fax: (304) 393-3387
Approximate (ZIP-level) locationGet directions
Mailing address
50 Lincoln St
Kermit, WV 25674
Other names (DBA / former)
- Doing business as
- Medicine Cabinet Pharmacy
Registry dates
- Enumerated
- 2011-12-20
- Last updated
- 2011-12-20
Frequently asked questions
- What is Broadway Clinic Pharmacy Inc's NPI number?
- Broadway Clinic Pharmacy Inc's National Provider Identifier (NPI) is 1043589062, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadway Clinic Pharmacy Inc?
- Broadway Clinic Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Broadway Clinic Pharmacy Inc located?
- Broadway Clinic Pharmacy Inc's practice location on file with NPPES is 50 Lincoln St, Kermit, WV 25674.
- What is Broadway Clinic Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Broadway Clinic Pharmacy Inc is (304) 393-3386.
- Who is the authorized official for Broadway Clinic Pharmacy Inc?
- The authorized official listed on Broadway Clinic Pharmacy Inc's NPPES record is Steve Williams, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadway Clinic Pharmacy Inc's NPI active?
- Yes — Broadway Clinic Pharmacy Inc's NPI (1043589062) is active in the NPPES registry as of the last update on 2011-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.