OrganizationActive
Broadway Medical Pharmacy
NPI 1154461085 · Pharmacist · Anaheim, CA
Broadway Medical Pharmacy is a Pharmacist organization in Anaheim, CA (NPI 1154461085).
Provider details
- NPI number
- 1154461085
- Entity type
- Organization
- Primary specialty
- PharmacistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Van Le, Direct Owner(714) 772-3630
- License
- PHY40768 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1673 W Broadway Ste 1
Anaheim, CA 92802-1109
Phone: (714) 772-3630
Fax: (714) 772-3631
Street-level locationGet directions
Mailing address
1673 W. Broadway Suit #1
Anaheim, CA 92802
Registry dates
- Enumerated
- 2007-02-08
- Last updated
- 2020-08-22
Frequently asked questions
- What is Broadway Medical Pharmacy's NPI number?
- Broadway Medical Pharmacy's National Provider Identifier (NPI) is 1154461085, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadway Medical Pharmacy?
- Broadway Medical Pharmacy is classified in the NPPES registry as Pharmacist (Pharmacy Service Providers).
- Where is Broadway Medical Pharmacy located?
- Broadway Medical Pharmacy's practice location on file with NPPES is 1673 W Broadway Ste 1, Anaheim, CA 92802-1109.
- What is Broadway Medical Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Broadway Medical Pharmacy is (714) 772-3630.
- Who is the authorized official for Broadway Medical Pharmacy?
- The authorized official listed on Broadway Medical Pharmacy's NPPES record is Van Le, Direct Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadway Medical Pharmacy's NPI active?
- Yes — Broadway Medical Pharmacy's NPI (1154461085) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.