OrganizationActive
Broad Street Pharmacy, Inc
NPI 1952864951 · Long Term Care Pharmacy · Chesaning, MI
Provider details
- NPI number
- 1952864951
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Parent organization
- Broad Street Pharmacy, Ltc
- Organization subpart
- Yes
- Authorized official
- Tamara Mason, Owner(989) 845-9355
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
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
7 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
1115 W Broad St
Chesaning, MI 48616-1068
Phone: (989) 845-9355
Fax: (989) 845-9356
Street-level locationGet directions
Mailing address
1115 W Broad St
Chesaning, MI 48616-1068
Other names (DBA / former)
- Other name
- Broad Street Pharmacy, Ltc
Registry dates
- Enumerated
- 2019-04-08
- Last updated
- 2025-11-06
- Certified
- 2025-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.