Gannon G Brouillette, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

16118 Issued in LA

Practice address

1406 W Landry St
Opelousas, LA 70570-2623

Phone

(337) 942-2653

Fax

(337) 942-8490

NPI assigned

Mar 15, 2007

Last updated

Aug 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alfred Richard's Thrif-T-Way Pharmacy of Opelousas, Inc

  dba Al's Thrifty Way Pharmacy

  • Community/Retail Pharmacy
  • Opelousas, LA
  • NPI 1558440719
  NPD Authorized official
• Thrif-T-Way, Inc.

  dba Thrifty Way at The Cottage

  • Community/Retail Pharmacy
  • Opelousas, LA
  • NPI 1184072514
  NPD Authorized official

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1790819639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 W LANDRY ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705702623",
            "telephone_number": "337-344-6004",
            "fax_number": "337-942-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 W LANDRY ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705702623",
            "telephone_number": "337-942-2653",
            "fax_number": "337-942-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUILLETTE",
        "first_name": "GANNON",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "16118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julissa Braimoh, MD
• Emily Breaux, PT
• Melissa Martin Breaux, FNP-C
• BRN Inc. (Plaza Pharmacy)
• Brookshire Grocery Company (Super 1 Pharmacy)
• Adeline Broussard
• Christopher Broussard, MED
• Nia Alexandra Broussard
• Theaolecia Broussard
• Tracy P Broussard, F.N.P.

• Pharmacist in Opelousas, LA
• Providers in Opelousas, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.