Broadway Ltc, LLC
NPI 1457758153ActiveOrganization· Pharmacy, Long Term Care Pharmacy· Cape Girardeau, MO
Pharmacy, Long Term Care Pharmacy in Cape Girardeau, Missouri, registered in NPPES in November 2014. The authorized official on file is Kevin Wood, Director Of Pharmacy. Medicare paid $13,070 for services to 202 patients in 2024.
Overview
| NPI | 1457758153 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 24, 2014 |
| Last updated in NPPES | Jul 24, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Long Term Care Pharmacy Primary | 3336L0003X | PS2014040344 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Clinical Laboratory (MO); Part B Supplier - Pharmacy (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 202 |
|---|---|
| Services billed | 296 across 7 procedure codes |
| Paid by Medicare | $13,070 |
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