Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Broad Street Pharmacy Inc

Organization Community/Retail Pharmacy · NPI 1598933434

Broad Street Pharmacy Inc is a Community/Retail Pharmacy in Falls Church, Virginia. Licensed in Virginia. Registered with an NPI since 2008.

Licensed in
VA
In the registry since
2008
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

450 W Broad St Ste 120 B
Falls Church, VA 22046-3340
Phone: (703) 533-9013
Fax: (703) 533-9015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 0201004216 (VA)
Compounding Pharmacy Taxonomy 3336C0004X
Specialty Pharmacy Taxonomy 3336S0011X

Record details

NPI number1598933434
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reza Ghaderi — Owner · (703) 307-2139
Other names Broad Street Pharmacy
NPI enumeratedFebruary 13, 2008
Last updated in NPPESMay 13, 2013
Mailing address450 W Broad St, Ste 120, Falls Church, VA 22046-3340

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