IndividualActive
Dylan Broadwater
NPI 1568016103 · Pharmacist · Fairchild Afb, WA
Dylan Broadwater is a Pharmacist provider in Fairchild Afb, WA (NPI 1568016103).
Provider details
- NPI number
- 1568016103
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PHA.0022534 (CO)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
701 Hospital Loop
Fairchild Afb, WA 99011-8704
Phone: (509) 247-3355
Approximate (ZIP-level) locationGet directions
Mailing address
8433a Bear Loop
Mountain Home Afb, ID 83648-5101
Registry dates
- Enumerated
- 2019-07-31
- Last updated
- 2023-06-30
- Certified
- 2023-06-30
Frequently asked questions
- What is Dylan Broadwater's NPI number?
- Dylan Broadwater's National Provider Identifier (NPI) is 1568016103, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dylan Broadwater's specialty?
- Dylan Broadwater is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Dylan Broadwater located?
- Dylan Broadwater's practice location on file with NPPES is 701 Hospital Loop, Fairchild Afb, WA 99011-8704.
- What is Dylan Broadwater's phone number?
- The practice phone number listed in the NPPES registry for Dylan Broadwater is (509) 247-3355.
- Is Dylan Broadwater's NPI active?
- Yes — Dylan Broadwater's NPI (1568016103) is active in the NPPES registry as of the last update on 2023-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.