Dylan Broadwater
Pharmacist β’ Fairchild Afb, WA
701 Hospital Loop
Fairchild Afb, WA 990118704
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
701 Hospital Loop
Fairchild Afb, WA 990118704
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Pharmacist: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2019
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Fairchild Afb and Washington
5 active clinicians are listed under Pharmacist with a practice address in Fairchild Afb, WA (7,786 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-06-30NUCC Taxonomy Code: 183500000X
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Emergency Medicine
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner - Family
MSNFNPC
Family Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Physical Therapist
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 701 HOSPITAL LOOP, FAIRCHILD AFB, WA 990118704 (Tel: 5092473355)
NPI status registered as active in NPPES database
Registered at 90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 836481062 (Tel: 3127287485)
Registered at 8433A BEAR LOOP, MOUNTAIN HOME AFB, ID 836485101 (Tel: 3862250011)
Recorded as DYLAN BROADWATER
Pharmacist (license number reported to NPPES: CO PHA.0022534)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
8433a Bear Loop
Mountain Home Afb, ID 836485101
Phone: 3862250011