OrganizationActive
Broadway Med Group, Inc
NPI 1164106175 · Community/Retail Pharmacy · Glendale, CA
Broadway Med Group, Inc is a Community/Retail Pharmacy organization in Glendale, CA (NPI 1164106175).
Provider details
- NPI number
- 1164106175
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ross Tarkhan, Owner(818) 945-0050
Specialties & taxonomies
Suppliers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
801 E Broadway Ste a
Glendale, CA 91205-4528
Phone: (818) 945-0050
Fax: (818) 937-9063
Street-level locationGet directions
Mailing address
801 E Broadway Ste a
Glendale, CA 91205-4528
Other names (DBA / former)
- Doing business as
- Broadway Pharmacy
- Doing business as
- Broadway Pharmacy
Registry dates
- Enumerated
- 2023-06-12
- Last updated
- 2024-02-05
- Certified
- 2024-02-05
Frequently asked questions
- What is Broadway Med Group, Inc's NPI number?
- Broadway Med Group, Inc's National Provider Identifier (NPI) is 1164106175, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadway Med Group, Inc?
- Broadway Med Group, Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Broadway Med Group, Inc located?
- Broadway Med Group, Inc's practice location on file with NPPES is 801 E Broadway Ste a, Glendale, CA 91205-4528.
- What is Broadway Med Group, Inc's phone number?
- The practice phone number listed in the NPPES registry for Broadway Med Group, Inc is (818) 945-0050.
- Who is the authorized official for Broadway Med Group, Inc?
- The authorized official listed on Broadway Med Group, Inc's NPPES record is Ross Tarkhan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadway Med Group, Inc's NPI active?
- Yes — Broadway Med Group, Inc's NPI (1164106175) is active in the NPPES registry as of the last update on 2024-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.