BROOKSHIRE BROTHERS INC (NPI# 1023480555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023480555 |
| Entity Type | Organization |
| Organization Name | BROOKSHIRE BROTHERS INC |
| Other Organization Name | BROOKSHIRE BROTHERS PHARMACY #79 |
| Practice Address |
18275 Fm 306 Canyon Lake TX 78133 |
| Mailing Address |
1201 Ellen Trout Dr Lufkin TX 75904-1233 |
| Practice Telephone | 8309353136 |
| Practice Fax Number | 8309353138 |
| Mailing Telephone | 9366348155 |
| Mailing Fax Number | 9366334678 |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | JOHN ALSTON (CEO) |
| Authorized Official Telephone | 9366348155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
30252 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 468309 | 05 | |
| PK | 2154777 | 01 |
| Other Name | Type Code |
|---|---|
| Brookshire Brothers Pharmacy #79 | 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 |
| 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 |
| 1194825547 | Brookshire Brothers Inc | Pharmacy | 455 Hwy 36 N, Caldwell, TX 77836 | 2006-09-25 |
| Street Address |
18275 FM 306 |
| City | CANYON LAKE |
| State | TX |
| Zip Code | 78133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309571 | Amanda Mills | Registered Nurse | 1811 Montview, Canyon Lake, TX 78133 | 2020-09-01 |
| 1104301902 | Jannah Holley Vise | Acupuncturist | 190 Crazy Horse Trail, Canyon Lake, TX 78133 | 2018-09-27 |
| 1154440873 | Jose P. Morin | Specialist/Technologist, Other | 623 Marlys Ave, Canyon Lake, TX 78133 | 2007-03-28 |
| 1619059060 | Brandon Grimm D.c. P.a. | Chiropractor | 14812 South Access Road, Canyon Lake, TX 78133 | 2006-10-19 |
| 1649543455 | Jeffrey Quentin Harper | Chiropractor | 1742 Fm 2673, Canyon Lake, TX 78133 | 2012-02-10 |
| 1225348048 | Hill Country Surgical Assistants | Specialist/Technologist, Other | 623 Marlys Ave, Canyon Lake, TX 78133 | 2010-10-14 |
| 1376554253 | Don Coleman | Rehabilitation Practitioner | 111 Toye Blvd, Canyon Lake, TX 78133 | 2006-08-10 |
| 1063943041 | Windmill Wellness Ranch LLC | Substance Abuse Rehabilitation Facility | 26229 N Cranes Mill Rd, Canyon Lake, TX 78133-1957 | 2017-03-22 |
| 1174143051 | Joseph Lee Kastigar | Peer Specialist | 26229 N Cranes Mill Rd, Canyon Lake, TX 78133-1957 | 2020-04-21 |
| 1083250799 | Lynette Slebrch | Counselor | 26229 N Cranes Mill Rd, Canyon Lake, TX 78133-1957 | 2019-11-18 |
| Find all providers in zip 78133 | ||||
| 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] |
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| 1356942767 | Rxassist Pharmacy, Inc. | Pharmacy | 17020 Beaver Springs Dr Ste 8, Houston, TX 77090-2398 | 2020-11-03 |
| 1154921864 | Mbepe Health LLC | Pharmacy | 301 S 9th St Ste 121, Richmond, TX 77469-3448 | 2020-10-30 |
| 1639779366 | Mens African Investors | Pharmacy | 6355 S Peek Rd Ste 300, Katy, TX 77450-7195 | 2020-10-30 |
| 1861091977 | A Medizona Pharmacy | Pharmacy | 3700 Barker Cypress Rd, Suite 700, Houston, TX 77084 | 2020-10-20 |
| 1952900078 | Nudo Pharmacy LLC | Pharmacy | 104 Industrial Blvd Ste 201, Sugar Land, TX 77478-3174 | 2020-10-20 |
| 1194324277 | Rite Scripts Pharmacy Inc | Pharmacy | 13835 Westhollow Park Dr Apt 2805, Houston, TX 77082-1885 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | CANYON LAKE |
| Zip Code | 78133 |
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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.