Active NPI
Neal James Broussard, RPH
- Pharmacist
- La Porte, TX
National Provider Identifier
1386966901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 32328
- Practice address
- 800 S Broadway St
La Porte, TX 77571-5324 - Phone
- (281) 471-1241
- Fax
- (281) 471-3763
- NPI assigned
- Feb 23, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 32328 | TX | Primary |
Addresses
Primary practice location
800 S Broadway St
La Porte, TX 77571-5324
Mailing address
PO Box 1736
La Porte, TX 77572-1736
Phone (281) 798-0653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32328 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1386966901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1736",
"city": "LA PORTE",
"state": "TX",
"postal_code": "775721736",
"telephone_number": "281-798-0653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S BROADWAY ST",
"city": "LA PORTE",
"state": "TX",
"postal_code": "775715324",
"telephone_number": "281-471-1241",
"fax_number": "281-471-3763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROUSSARD",
"first_name": "NEAL",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-23",
"last_updated": "2022-03-08",
"certification_date": "2020-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "32328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Porte, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.