Active NPI
Karla M Broussard, R.PH.
- Pharmacist
- Hammond, LA
National Provider Identifier
1447408612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13647
- Practice address
- 701 Pride Dr
Hammond, LA 70401-9526 - Phone
- (985) 543-0092
- Fax
- (985) 543-0603
- NPI assigned
- Aug 29, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 13647 | LA | Primary |
Addresses
Primary practice location
701 Pride Dr
Hammond, LA 70401-9526
Mailing address
701 Pride Dr
Hammond, LA 70401-9526
Phone (985) 543-0092
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 |
|---|---|---|---|
| 13647 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219968000000",
"number": "1447408612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 PRIDE DR",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704019526",
"telephone_number": "985-543-0092",
"fax_number": "985-543-0603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 PRIDE DR",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704019526",
"telephone_number": "985-543-0092",
"fax_number": "985-543-0603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROUSSARD",
"first_name": "KARLA",
"middle_name": "M",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-29",
"last_updated": "2008-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "13647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.