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BROADMOOR DRUG CENTER INC
NPI 1417026360
Pharmacy - Community/Retail Pharmacy in Houma, LA

Active since November 07, 2006
6096 W PARK AVE, HOUMA, LA 70364(985) 876-2584(985) 876-5050 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 19, 2025, Jul 19, 2018, Jun 1, 2017 and 1 more (4 updates tracked since 2016).

About Broadmoor Drug Center Inc NPPES

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

BROADMOOR DRUG CENTER INC (NPI 1417026360), doing business as Broadmoor Drug Center, is a healthcare organization registered as a community/retail pharmacy in Houma, Louisiana and active in the NPI registry since November 2006. The organization lists Dean Pellegrin, Owner Phcst, as its authorized official.

NPPES Registry Identity

NPI1417026360
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBROADMOOR DRUG CENTER INC
Location Address6096 W PARK AVEHouma, LA 70364-1808
Mailing Address6096 W Park AveHouma, LA 70364-1797 · (985) 876-2584 · Fax (985) 876-5050
Phone(985) 876-2584
Fax(985) 876-5050
Organization SubpartNo
Authorized OfficialDean PellegrinOwner Phcst · (985) 876-2584
Enumeration DateNovember 7, 2006
Last NPPES UpdateSeptember 19, 20254 updates tracked since enumeration
✔ NPI 1417026360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in LA · 100IR
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
6096 W PARK AVE, Houma, LA 70364
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Other Names 1

Doing Business AsBroadmoor Drug Center

Other Identifiers 2

Other2028734Pk
Medicaid1205745LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 3

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

KRYSTAL LYNN ELLIS CPHT
Pharmacy Technician
6096 W PARK AVE
HOUMA, LA 70364
Terrebonne Parish (985) 876-2584
MR. CURTIS JOSEPH BADEAUX JR. RPH
Pharmacist
6096 W PARK AVE
HOUMA, LA 70364
Terrebonne Parish (985) 876-2584
MR. DEAN PATRICK PELLEGRIN
Pharmacist
6096 W PARK AVE
HOUMA, LA 70364
Terrebonne Parish (985) 876-2584

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 Broadmoor Drug Center Inc's NPI number?

The NPI number for Broadmoor Drug Center Inc is 1417026360. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider is doing business as Broadmoor Drug Center.

Where is Broadmoor Drug Center Inc located?

Broadmoor Drug Center Inc is located at 6096 W Park Ave, Houma, LA 70364. The listed phone number is (985) 876-2584.

What is Broadmoor Drug Center Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Broadmoor Drug Center Inc accept?

Health plans from Moda Health Plan, Inc. list Broadmoor Drug Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Broadmoor Drug Center Inc was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.