MR. JOHN EDWARD BROUSSARD R.PH. NPI 1750696639

NPI Information

  • NPI: 1750696639
  • Provider Name: MR. JOHN EDWARD BROUSSARD, R.PH.
  • Classification: Pharmacist - 183500000X
  • Entity Type: Individual
  • Address: 105 CITIES SERVICE HWY
    SULPHUR, LA
    ZIP 70663
  • Phone: (337) 533-1137

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NPI Details

MR. John Edward Broussard, R.PH. is a pharmacist in Sulphur, LA. The provider is 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. MR. John Edward Broussard, R.PH. NPI is 1750696639. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

105 CITIES SERVICE HWY
SULPHUR, LA
ZIP 70663-419
Phone: (337) 533-1137
Fax: (337) 533-9879

The enumeration date for this NPI number is 8/16/2010 and was last updated on 8/16/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacist13303LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11896195MEDICAIDLOUISIANA
209-331OTHERLOUISIANALOUISANA BOARD OF PHARMACY MEDICATION ADMINISTRATIONJ REGISTRY NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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