BROOKSHIRE BROTHERS INC (NPI# 1023117348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023117348 |
| Entity Type | Organization |
| Organization Name | BROOKSHIRE BROTHERS INC |
| Other Organization Name | BROOKSHIRE BROTHERS PHARMACY |
| Practice Address |
21005 Eva St Montgomery TX 77356-1897 |
| Mailing Address |
1201 Ellen Trout Dr Lufkin TX 75904-1233 |
| Practice Telephone | 9365978002 |
| Practice Fax Number | 9365978230 |
| Mailing Telephone | 9366348155 |
| Mailing Fax Number | 9366348646 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | JOHN ALSTON (CHIEF OPERATIONS OFFICER) |
| Authorized Official Telephone | 9366348155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
21024 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2096299 | 01 | |
| TX | 465151 | 05 |
| Other Name | Type Code |
|---|---|
| BROOKSHIRE BROTHERS PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124679592 | Brookshire Brothers Inc | Pharmacy | 34692 Us Highway 96 S, Buna, TX 77612 | 2019-09-26 |
| 1639624471 | Brookshire Brothers Inc | Pharmacy | 1111 N Hwy 287, Grapeland, TX 75844 | 2016-08-22 |
| 1023480555 | Brookshire Brothers Inc | Pharmacy | 18275 Fm 306, Canyon Lake, TX 78133 | 2015-10-23 |
| 1114308236 | Brookshire Brothers Inc | Pharmacy | 750 S Highway 377, Pilot Point, TX 76258-4469 | 2015-06-15 |
| 1396189635 | Brookshire Brothers Inc | Pharmacy | 305 West York, Ganado, TX 77962 | 2013-04-17 |
| 1801124151 | Brookshire Brothers Inc | Pharmacy | 2325 N Main St, Liberty, TX 77575-3901 | 2009-11-25 |
| 1396979712 | Brookshire Brothers Inc | Pharmacy | 100 S Home St, Corrigan, TX 75939-2616 | 2009-05-13 |
| 1922216530 | Brookshire Brothers Inc | Pharmacy | 215 Mill Creek Dr, Ste 155, Salado, TX 76571-9344 | 2007-05-18 |
| 1922108364 | Brookshire Brothers Inc | Pharmacy | 204 Broadway, Winnie, TX 77665 | 2006-09-25 |
| 1821198268 | Brookshire Brothers Inc | Pharmacy | 272 N Marcus, Alto, TX 75925 | 2006-09-25 |
| Street Address |
21005 EVA ST |
| City | MONTGOMERY |
| State | TX |
| Zip Code | 77356-1897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144836073 | Myrna Laura Frost | Pharmacy | 21005 Eva St, Montgomery, TX 77356-1897 | 2020-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919490 | Age Well Concierge Medicine | Family Medicine | 18441 Tx-105, Suite B, Montgomery, TX 77356 | 2020-07-21 |
| 1912549908 | Kindra Siewood | Speech-Language Pathologist | 15320 Tx-105 W, Suite 116, Montgomery, TX 77356 | 2019-10-11 |
| 1710545595 | Vaughn Motley Bryant IIi | Counselor | 14740 Liberty Street, Montgomery, TX 77356 | 2019-06-05 |
| 1871157420 | Belinda Kay Warren Delapena | Counselor | 3507 Whittier, Montgomery, TX 77356 | 2019-04-30 |
| 1841760071 | Cvs Pharmacy Inc | Pharmacy | 20125 Eva Street, Montgomery, TX 77356 | 2018-11-30 |
| 1750863429 | Kristina Lynn Knighten | Specialist/Technologist | 3602 Woodland Lane, Montgomery, TX 77356 | 2018-08-30 |
| 1770072415 | Crosby Pharmacy & Wellness, LLC | Pharmacy | 18446 Tx - 105 Ste D, Montgomery, TX 77356 | 2018-05-08 |
| 1760999726 | Everbright Dental Pllc | Dentist | 20212 Eva St., #160, Montgomery, TX 77356 | 2017-12-29 |
| 1821535261 | Ramon Campbell | Nurse Practitioner | 108 Harbour Town Drive, Montgomery, TX 77356 | 2017-01-24 |
| 1447628995 | Erica Everett | Nurse Practitioner | 110 April Wind Ct, Montgomery, TX 77356 | 2015-09-14 |
| Find all providers in zip 77356 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447814033 | Triple T Pharmacy LLC | Pharmacy | 461 Cotton Gin Rd Ste B, Montgomery, AL 36117-3558 | 2019-04-29 |
| 1114486800 | Jmjp Investments LLC | Pharmacy | 89 Boulder Hill Pass, Montgomery, IL 60538-1911 | 2019-03-13 |
| 1750853529 | Aim 2016, Inc | Pharmacy | 7212 Halcyon Park Dr, Montgomery, AL 36117-7717 | 2018-12-18 |
| 1841760071 | Cvs Pharmacy Inc | Pharmacy | 20125 Eva Street, Montgomery, TX 77356 | 2018-11-30 |
| 1770072415 | Crosby Pharmacy & Wellness, LLC | Pharmacy | 18446 Tx - 105 Ste D, Montgomery, TX 77356 | 2018-05-08 |
| 1124468210 | Montgomery Drug Company Inc. | Pharmacy | 1633 Perry Hill Rd, Montgomery, AL 36106-2729 | 2013-07-03 |
| 1508042086 | Hudson Valley Ltc Pharmacy Inc | Pharmacy | 105 Ward St Ste A, Montgomery, NY 12549-1150 | 2008-01-15 |
| 1851427850 | Walgreen Co | Pharmacy | 2920 Carter Hill Rd, Montgomery, AL 36106-2531 | 2007-02-26 |
| 1659446904 | Montgomery Drug Company Inc | Pharmacy | 37 Mitchell Dr, Montgomery, AL 36109-2923 | 2006-11-22 |
| 1477624070 | Vel LLC | Pharmacy | 8189 Vaughn Rd, Montgomery, AL 36116-6705 | 2006-11-13 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 77356 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.