Broadmoor Drug Center Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

100IR Issued in LA

Legal business name

BROADMOOR DRUG CENTER INC

Practice address

6096 W Park Ave
Houma, LA 70364-1808

Phone

(985) 876-2584

Fax

(985) 876-5050

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Dean Pellegrin, PDNPI 1679625800

Title

Owner Phcst

Phone

(985) 876-2584

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BROADMOOR DRUG CENTER Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dean Patrick Pellegrin

  • Pharmacist
  • Houma, LA
  • NPI 1679625800
  NPD (past) Authorized official
• Curtis Joseph Badeaux Jr., RPH

  • Pharmacist
  • Houma, LA
  • NPI 1538307210
  NPD (past)
• Krystal Lynn Ellis, CPHT

  • Pharmacy Technician
  • Houma, LA
  • NPI 1124596630
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1417026360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6096 W PARK AVE",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703641797",
            "telephone_number": "985-876-2584",
            "fax_number": "985-876-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6096 W PARK AVE",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703641808",
            "telephone_number": "985-876-2584",
            "fax_number": "985-876-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADMOOR DRUG CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "PELLEGRIN",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "OWNER PHCST",
        "authorized_official_telephone_number": "985-876-2584",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "100IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2028734",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205745",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROADMOOR DRUG CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cashona Latrina Brewster
• Michelle Briceno, RDN
• Iesha Michelle Bridgewater
• Bright Star Homecare LLC
• Brighter Futures Therapy, LLC
• Richard L Brooke, MD
• Sarah Larke Brooke, LCSW
• Dejae Antrell Broomfield
• Alison Ann Broussard
• Kimberly Marie Broussard, PA

• Community/Retail Pharmacy in Houma, LA
• Providers in Houma, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.