WEST BROAD MED PHCY INC NPI 1669550174

NPI Information

NPI: 1669550174
Provider Name: WEST BROAD MED PHCY INC
Classification: Pharmacy - 3336C0002X
Specialization: Clinic Pharmacy
Entity Type: Organization
:
Address: 2575 W BROAD ST
COLUMBUS, OH
ZIP 43204
Phone: (614) 279-7722

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NPI Details

WEST BROAD MED PHCY INC is a clinic pharmacy pharmacy in Columbus, OH. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. WEST BROAD MED PHCY INC NPI is 1669550174. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

2575 W BROAD ST
COLUMBUS, OH
ZIP 43204-333
Phone: (614) 279-7722
Fax: (614) 279-7723

The provider's authorized official is Tracy Hammond .
The authorized official title is Third Party Admin and has the following contact phone number (614) 481-4272.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336C0002X	Pharmacy	Clinic Pharmacy			Yes
2	3336C0003X	Pharmacy	Community/Retail Pharmacy		OHIO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0571966	MEDICAID	OHIO
2	3643144	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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