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

Broad Street Pharmacy, Inc

Organization Community/Retail Pharmacy · NPI 1952864951

Broad Street Pharmacy, Inc is a Community/Retail Pharmacy in Chesaning, Michigan. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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

1115 W Broad St
Chesaning, MI 48616-1068
Phone: (989) 845-9355
Fax: (989) 845-9356
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1952864951
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBroad Street Pharmacy, Ltc
Authorized official Tamara Mason — Owner · (989) 845-9355
Other names Broad Street Pharmacy, Ltc
NPI enumeratedApril 8, 2019
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025
Mailing address1115 W Broad St, Chesaning, MI 48616-1068

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