MR. JOHN EDWARD BROUSSARD (NPI# 1750696639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750696639 |
| Entity Type | Individual |
| Full Name | MR. JOHN EDWARD BROUSSARD |
| Credential | R.PH. |
| Practice Address |
105 Cities Service Hwy Sulphur LA 70663-5419 |
| Practice Telephone | 3375331137 |
| Practice Fax Number | 3375339879 |
| Mailing Telephone | 3375331137 |
| Mailing Fax Number | 3375339879 |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13303 | LA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1896195 | 05 | |
| LA | LOUISANA BOARD OF PHARMACY MEDICATION ADMINISTRATIONJ REGISTRY N | 09-331 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013271196 | John Robert Broussard | Counselor | 2711 Edgewood Dr, Placerville, CA 95667-3409 | 2012-07-03 |
| 1174839161 | John Broussard | Family Medicine | 111 2nd Ave Ne Ste 1401, St Petersburg, FL 33701-3480 | 2010-08-27 |
| 1326509977 | John Broussard | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave # 8679, New Orleans, LA 70112-2632 | 2019-03-27 |
| 1033645494 | John Joseph Broussard | Physical Therapist | 2115 Dulles Dr, Lafayette, LA 70506-2652 | 2017-05-04 |
| 1063648889 | John Broussard | Physical Therapist | 620 N Morrison Blvd Ste G, Hammond, LA 70401-2312 | 2009-06-08 |
| 1548462898 | John Broussard | Physical Therapist | 4412 N Davis Hwy, Pensacola, FL 32503-2756 | 2007-05-31 |
| 1992844476 | John King Broussard | Psychologist | 1600 Airport Fwy, Suite 322, Bedford, TX 76022-6850 | 2007-02-05 |
| Street Address |
105 CITIES SERVICE HWY |
| City | SULPHUR |
| State | LA |
| Zip Code | 70663-5419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295176741 | Sean P Jones | Pharmacist | 105 Cities Service Hwy, Sulphur, LA 70663 | 2013-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457822751 | Imperial Calcasieu Human Services Authority | Clinic/Center | 2651 E Napoleon St, Sulphur, LA 70663 | 2018-12-12 |
| 1083134670 | Leah Lowe | Nurse Practitioner | 1019 Mathew St., Sulphur, LA 70663 | 2017-06-23 |
| 1972037166 | Collins Orthopaedics LLC | Orthopaedic Surgery | 250 S Beglis Parkway, Ste 3, Sulphur, LA 70663 | 2017-04-14 |
| 1699219238 | Charles Miah Smith | Family Medicine | 231 W Houston River Rd., Sulphur, LA 70663 | 2016-12-16 |
| 1598213357 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 1000 Beglis Pkwy, Sulphur, LA 70663 | 2016-09-21 |
| 1992129019 | Healthscripts of America-southwest Louisiana,llc | Pharmacy | 1575 Maplewood Drive, Suite A, Sulphur, LA 70663 | 2014-02-10 |
| 1679900476 | Evergreen Presbyterian Ministries, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2108 Division Street, Sulphur, LA 70663 | 2013-10-11 |
| 1295065241 | Journey Behavioral Health, LLC | Psychologist | 423 Cypress St., Sulphur, LA 70663 | 2010-01-13 |
| 1558513754 | C H Wilkinson Physician Network | Nurse Practitioner | 525 North City Service Hwy, Sulphur, LA 70663 | 2008-10-21 |
| 1689853343 | Stelly Physical &occupational Therapy | Occupational Therapist | 946 Beglis Parkway, Sulphur, LA 70663 | 2007-10-30 |
| Find all providers in zip 70663 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992172076 | Susan Murray | Pharmacist | 1900 Bird St, Sulphur, OK 73086-9569 | 2015-08-25 |
| 1285033126 | Tracy Richard | Pharmacist | 107 Willene Ln, Sulphur, LA 70663-5543 | 2014-08-16 |
| 1013294586 | Juanita Tarver Gilbert | Pharmacist | 195 Sam Dunham Rd, Sulphur, LA 70663-0226 | 2011-11-10 |
| 1457650269 | John Walter Walker | Pharmacist | 1601 E Napoleon St, Sulphur, LA 70663-3654 | 2011-03-18 |
| 1700191624 | Crystal Janee Williams | Pharmacist | 105 S Cities Service Hwy, Sulphur, LA 70663-6401 | 2010-08-16 |
| 1487862611 | Scott Davis Nealy | Pharmacist | 1508 Beglis Pkwy, Sulphur, LA 70663-5606 | 2007-05-20 |
| 1992926331 | Bobbye Carol Gowan | Pharmacist | 1211 E 2nd St, Sulphur, OK 73086-4008 | 2007-05-02 |
| 1760534606 | Ruth Guidry | Pharmacist | 210 West Napoleon St, Suite G Paragon Drug Store, Sulphur, LA 70663 | 2007-01-18 |
| 1215021894 | Diane Michele Rowe | Pharmacist | 815 W. Broadway, Sulphur, OK 73086 | 2006-10-03 |
| 1154428696 | David R Pittman | Pharmacist | 815 West Broadway, Sulphur, OK 73086 | 2006-09-19 |
| Find all providers in SULPHUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.