BRANDI BROADDUS
NPI 1407101470
Pharmacist in Trinidad, CO

Active since July 17, 2012
457 W MAIN ST, TRINIDAD, CO 81082(719) 846-3086 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brandi Broaddus NPPES

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

BRANDI BROADDUS (NPI 1407101470) is an individual pharmacist in Trinidad, Colorado, licensed in Colorado (19454) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1407101470
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameBRANDI BROADDUS
Location Address457 W MAIN STTrinidad, CO 81082-2623
Mailing Address23500 Us Highway 160 Ste AWalsenburg, CO 81089-9524 · (719) 738-4500 · Fax (719) 501-2580
Sole ProprietorNo
Enumeration DateJuly 17, 2012
Last NPPES UpdateOctober 9, 2023
NPPES CertifiedOctober 9, 2023
NPI 1407101470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CO · 19454
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.
457 W MAIN ST, Trinidad, CO 81082

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
457 W MAIN ST
TRINIDAD, CO 81082
Pharmacist
457 W MAIN ST
TRINIDAD, CO 81082
Pharmacist
457 W MAIN ST
TRINIDAD, CO 81082
Pharmacist
457 W MAIN ST
TRINIDAD, CO 81082
Pharmacy (Community/Retail Pharmacy)
457 W MAIN ST
TRINIDAD, CO 81082
Pharmacist
457 W MAIN ST
TRINIDAD, CO 81082

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 Brandi Broaddus's NPI number?

The NPI number for Brandi Broaddus is 1407101470. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Where is Brandi Broaddus located?

Brandi Broaddus practices at 457 W Main St, Trinidad, CO 81082. The listed phone number is (719) 846-3086.

What is Brandi Broaddus'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 Brandi Broaddus was last updated on October 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.