Lynette Maria Broussard-Walker, R.PH
Individual provider Active NPI Pharmacist · View Park, CA
NPI 1679429468 · NPPES record last updated Mar 5, 2026
Key facts
- NPI
- 1679429468
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 40597 (CA)
- Practice address
- 3620 Fairway Blvd
View Park, CA 90043-1111 - Phone
- (310) 613-7533
- NPI assigned
- Mar 5, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40597 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 40597 | CA | Yes |
Addresses
Primary practice location
3620 Fairway Blvd
View Park, CA 90043-1111
Mailing address
3620 Fairway Blvd
View Park, CA 90043-1111
Phone (310) 613-7533
Other providers in View Park, CA
- Tierra Bent
- Jennifer Blandon
- Brittany V Richardson Licensed Clincial Social Worker Inc
- Brittany V. Richardson, Licensed Clinical Social Worker, Inc.
- Brittney Penamon Rdhap Corporation
- Maria F Buelna-Miranda
- Burnett Clinical Group, a Licensed Clinical Social Worker Corporation
- Dezetta Burnett
- Cal Vic Family Services
- Jamie Campos
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.