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East Broadway Pharmacy LLC

East Broadway Pharmacy LLC is a healthcare organization registered as Community/Retail Pharmacy in Angleton, TX, holding Type 2 (organization) NPI 1245915040 since 2023. The authorized official on file is Charles Mosely, Officer.

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NPI 1245915040
Entity type Organization (Type 2)
Legal business name East Broadway Pharmacy LLC
Practice address 1712 N VELASCO ST STE D, Angleton, TX, 77515
Phone 2814164439
Enumeration date 2023-06-19
Last updated in NPPES 2024-09-19

Authorized official

Name Charles Mosely
Title Officer
Phone 2814164439

Taxonomy & classification

Taxonomy code Specialty Primary License State
3336C0003X Community/Retail Pharmacy Primary
Copy-ready billing details
Provider: East Broadway Pharmacy LLC
NPI: 1245915040
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 1712 N VELASCO ST STE D, Angleton, TX, 77515

Verify this record

Cross-check NPI 1245915040 against the authoritative CMS record: view East Broadway Pharmacy LLC on the official NPPES registry .

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. Read the full guide or validate an NPI number.

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 East Broadway Pharmacy LLC?
East Broadway Pharmacy LLC is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-09-19.