MEDICARE: DARA BROADWAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835N0905X	Nuclear Pharmacist	16937	MD

General Provider Information

NPI Number	:	1841647484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARA BROADWAY

Provider Business Mailing Address
First Line	:	12120 PLUM ORCHARD DR STE G
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-7839
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12120 PLUM ORCHARD DR STE G
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-7839
Country	:	US
Telephone Number	:	301-572-7022
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2016
Last Update Date	:	05/23/2016

Similar Medicare Providers

1508416702 — XINLIAN CHEN PHARM D
Practice Location Address:

8901 WSICONSIN AVE
BETHESDA, MD
20889-7839

Practice Phone: 301-295-0504
Practice Fax:

1871577718 — DEVON O REED RPH., PHARMD, BCNP
Practice Location Address:

8901 ROCKVILLE PIKE
BETHESDA, MD
20889-4501

Practice Phone: 301-319-2716
Practice Fax:

1669405296 — MRS. EDNA GARCIA-PENA RPH
Practice Location Address:

6900 GEORGIA AVE NW , BLDG 2 PHARMACY DEPARTMENT
WALTER REED ARMY MEDICAL CENTER, DC
20307-5001

Practice Phone: 202-782-5298
Practice Fax: 202-782-4236

1760753354 — JOSE R. CRUZ II PHARM.D.
Practice Location Address:

16200 COUNTY LINE RD
SPRING HILL, FL
34610-1351

Practice Phone: 954-290-5990
Practice Fax:

1457219313 — ABIGAIL FONTANA
Practice Location Address:

2415 MUSGROVE RD STE 203
SILVER SPRING, MD
20904-5228

Practice Phone: 301-989-2300
Practice Fax:

1578094348 — KRISTIN ELIZABETH HOOVER M.D.
Practice Location Address:

11890 HEALING WAY
SILVER SPRING, MD
20904-7917

Practice Phone: 240-637-4000
Practice Fax:

Directions to “ DARA BROADWAY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.