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Broad Street Pharmacy Inc

Community/Retail Pharmacy in Falls Church, VA · enumerated 2008 · authorized official Reza Ghaderi, Owner.

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

National Provider Identifier

1598933434

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Broad Street Pharmacy Inc
Other name <Unavail>
Practice address 450 W Broad St, Ste 120 B, Falls Church, VA, 22046
Fax (703) 533-9015
Enumeration date Feb 13, 2008
Last updated in NPPES May 13, 2013

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 0201004216 (VA) Primary
3336C0004X Compounding Pharmacy Suppliers Secondary
3336S0011X Specialty Pharmacy Suppliers Secondary

Authorized official

Name Reza Ghaderi
Title Owner

Other identifiers

Identifier Type State Issuer
2106340 Other - PK

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

Where is Broad Street Pharmacy Inc located?
The practice location on file with NPPES is in Falls Church, VA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-05-13. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-05-13.