IndividualActive
Frederick Broussard, RPH
NPI 1194311217 · Pharmacist · La Jolla, CA
Frederick Broussard, RPH is a Pharmacist provider in La Jolla, CA (NPI 1194311217).
Provider details
- NPI number
- 1194311217
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- License
- 83939 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
8831 Villa La Jolla Dr
La Jolla, CA 92037-1949
Phone: (858) 457-4480
Street-level locationGet directions
Mailing address
8831 Villa La Jolla Dr
La Jolla, CA 92037-1949
Registry dates
- Enumerated
- 2020-12-13
- Last updated
- 2020-12-13
- Certified
- 2020-12-11
Frequently asked questions
- What is Frederick Broussard's NPI number?
- Frederick Broussard's National Provider Identifier (NPI) is 1194311217, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Frederick Broussard's specialty?
- Frederick Broussard is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Frederick Broussard located?
- Frederick Broussard's practice location on file with NPPES is 8831 Villa La Jolla Dr, La Jolla, CA 92037-1949.
- What is Frederick Broussard's phone number?
- The practice phone number listed in the NPPES registry for Frederick Broussard is (858) 457-4480.
- Is Frederick Broussard's NPI active?
- Yes — Frederick Broussard's NPI (1194311217) is active in the NPPES registry as of the last update on 2020-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.