IndividualActive
Wilfred Broussard
NPI 1104077890 · Pharmacist · Plano, TX
Wilfred Broussard is a Pharmacist provider in Plano, TX (NPI 1104077890).
Provider details
- NPI number
- 1104077890
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 19241 (TX)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
801 Legacy Dr Apt 2311
Plano, TX 75023-2228
Phone: (469) 241-1866
Street-level locationGet directions
Mailing address
801 Legacy Dr Apt 2311
Plano, TX 75023-2228
Registry dates
- Enumerated
- 2008-10-01
- Last updated
- 2008-10-01
Frequently asked questions
- What is Wilfred Broussard's NPI number?
- Wilfred Broussard's National Provider Identifier (NPI) is 1104077890, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wilfred Broussard's specialty?
- Wilfred Broussard is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Wilfred Broussard located?
- Wilfred Broussard's practice location on file with NPPES is 801 Legacy Dr Apt 2311, Plano, TX 75023-2228.
- What is Wilfred Broussard's phone number?
- The practice phone number listed in the NPPES registry for Wilfred Broussard is (469) 241-1866.
- Is Wilfred Broussard's NPI active?
- Yes — Wilfred Broussard's NPI (1104077890) is active in the NPPES registry as of the last update on 2008-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.