Broadway Ltc, LLC
NPI 1457758153 · Long Term Care Pharmacy · Cape Girardeau, MO
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Broadway Ltc, LLC is a Long Term Care Pharmacy organization in Cape Girardeau, MO (NPI 1457758153).
Provider details
- NPI number
- 1457758153
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kevin Wood, Director of Pharmacy(573) 576-3029
- License
- PS2014040344 (MO)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
259 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Pneumococcal, Influenza, Hepatitis B, And/Or Covid-19 Vaccine Inside a Patient'S Home; Reported Only Once Per Individual Home Per Date of Service When Such Vaccine Administration(s) Are Performed at the Patient'S HomeM0201 | 223 | $35 |
| Administration of Influenza Virus VaccineG0008 | 21 | $30 |
| Admn Sarscov2 Vacc 1 Dose90480 | 15 | $40 |
Typical Medicare-allowed amounts for these services range $30–$40 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Broadway Pharmacy Ltc
- Doing business as
- Broadway Pharmacy Ltc
Registry dates
- Enumerated
- 2014-11-24
- Last updated
- 2018-07-24
Frequently asked questions
- What is Broadway Ltc, LLC's NPI number?
- Broadway Ltc, LLC's National Provider Identifier (NPI) is 1457758153, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadway Ltc, LLC?
- Broadway Ltc, LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Broadway Ltc, LLC located?
- Broadway Ltc, LLC's practice location on file with NPPES is 37 Doctors Park Ste 7, Cape Girardeau, MO 63703.
- What is Broadway Ltc, LLC's phone number?
- The practice phone number listed in the NPPES registry for Broadway Ltc, LLC is (573) 803-2040.
- Does Broadway Ltc, LLC accept Medicare?
- Broadway Ltc, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Broadway Ltc, LLC?
- The authorized official listed on Broadway Ltc, LLC's NPPES record is Kevin Wood, Director of Pharmacy. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadway Ltc, LLC's NPI active?
- Yes — Broadway Ltc, LLC's NPI (1457758153) is active in the NPPES registry as of the last update on 2018-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.