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Broderick Enterprises, LLC

Community/Retail Pharmacy in Ada, OK · enumerated 2018 · authorized official Zack Broderick, Pharmacist/Ower.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073091070

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Broderick Enterprises, LLC
Other name <Unavail>
Practice address 711 E 9th St, Ada, OK, 74820
Phone (580) 332-3344
Fax (580) 332-3616
Enumeration date Aug 1, 2018
Last updated in NPPES Oct 3, 2025

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 23-8228 (OK) Primary
3336C0004X Compounding Pharmacy Suppliers Secondary

Authorized official

Name Zack Broderick
Title Pharmacist/Ower
Phone (580) 332-3344

Other identifiers

Identifier Type State Issuer
200803550A Medicaid OK -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Broderick Enterprises, LLC?
Broderick Enterprises, LLC is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-03.