OrganizationActive
Broadwater Drug, Inc
NPI 1548286024 · Community/Retail Pharmacy · Gate City, VA
Broadwater Drug, Inc is a Community/Retail Pharmacy organization in Gate City, VA (NPI 1548286024).
Provider details
- NPI number
- 1548286024
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Anthony Street, Owner-Pharmacist(276) 386-3821
- License
- 0201000069 (VA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 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
166 E Jackson St
Gate City, VA 24251-3417
Phone: (276) 386-3821
Fax: (276) 386-7582
Street-level locationGet directions
Mailing address
166 E Jackson St
Gate City, VA 24251-3417
Other names (DBA / former)
- Doing business as
- Broadwater Drug
Registry dates
- Enumerated
- 2006-07-15
- Last updated
- 2020-08-22
Frequently asked questions
- What is Broadwater Drug, Inc's NPI number?
- Broadwater Drug, Inc's National Provider Identifier (NPI) is 1548286024, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadwater Drug, Inc?
- Broadwater Drug, Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Broadwater Drug, Inc located?
- Broadwater Drug, Inc's practice location on file with NPPES is 166 E Jackson St, Gate City, VA 24251-3417.
- What is Broadwater Drug, Inc's phone number?
- The practice phone number listed in the NPPES registry for Broadwater Drug, Inc is (276) 386-3821.
- Who is the authorized official for Broadwater Drug, Inc?
- The authorized official listed on Broadwater Drug, Inc's NPPES record is Anthony Street, Owner-Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadwater Drug, Inc's NPI active?
- Yes — Broadwater Drug, Inc's NPI (1548286024) 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.