Individual provider Active NPI

Paul Olivier Broussard, R.PH.

  • Pharmacist
  • Hanford, CA
National Provider Identifier
1003145988
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
43332 Issued in CA
Practice address
329 W 8TH St # 105
Hanford, CA 93230-4533
Phone
(559) 582-4466
Fax
(559) 924-1001
NPI assigned
Dec 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 43332 CA Primary

Addresses

Primary practice location

329 W 8TH St # 105
Hanford, CA 93230-4533

Mailing address

329 W 8TH St # 105
Hanford, CA 93230-4533
Phone (559) 582-4466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Pharmacist

Interoperability endpoints

  • Direct secure messaging: paul.broussard.p1@direct.ariachc.nextgenshare.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1003145988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 W 8TH ST # 105",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304533",
            "telephone_number": "559-582-4466",
            "fax_number": "559-924-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 W 8TH ST # 105",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304533",
            "telephone_number": "559-582-4466",
            "fax_number": "559-924-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "PAUL",
        "middle_name": "OLIVIER",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-23",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "43332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.