WILFRED BROUSSARD JR.
NPI 1104077890
Pharmacist in Plano, TX

Active since October 01, 2008
801 LEGACY DR APT 2311, PLANO, TX 75023(469) 241-1866 Get Directions Write a Review

NPPES record last updated: October 1, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wilfred Broussard Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILFRED BROUSSARD JR. (NPI 1104077890) is an individual pharmacist in Plano, Texas, licensed in Texas (19241) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1104077890
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameWILFRED BROUSSARD JR.
Location Address801 LEGACY DR APT 2311Plano, TX 75023-2228
Mailing Address801 Legacy Dr Apt 2311Plano, TX 75023-2228 · (469) 241-1866
Sole ProprietorYes
Enumeration DateOctober 1, 2008
NPI 1104077890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in TX · 19241
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
801 LEGACY DR APT 2311, Plano, TX 75023

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilfred Broussard's NPI number?

The NPI number for Wilfred Broussard is 1104077890. It was assigned to this individual provider in the NPPES registry on October 1, 2008.

Where is Wilfred Broussard located?

Wilfred Broussard practices at 801 Legacy Dr Apt 2311, Plano, TX 75023. The listed phone number is (469) 241-1866.

What is Wilfred Broussard's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Wilfred Broussard was last updated on October 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.