BROOKSHIRE GROCERY COMPANY (NPI# 1144393471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144393471 |
| Entity Type | Organization |
| Organization Name | BROOKSHIRE GROCERY COMPANY |
| Other Organization Name | BROOKSHIRES PHARMACY |
| Practice Address |
1345 Hwy 4 Spur Sw Attention Pharmacy Dept Camden AR 71701 |
| Mailing Address |
1600 W Sw Loop 323 Po Box 1411 Tyler TX 75701-8532 |
| Practice Telephone | 8708363324 |
| Practice Fax Number | 8708363715 |
| Mailing Telephone | 9038776827 |
| Mailing Fax Number | 9038773820 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2015-11-18 |
| Authorized Official Name | JIM COUSINEAU (VP PHARMACY OPERATIONS) |
| Authorized Official Telephone | 9038776514 |
| Authorized Official Credential | RPH |
| 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 |
0418497 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1995487 | 01 | |
| AR | 125612407 | 05 |
| Other Name | Type Code |
|---|---|
| BROOKSHIRES PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386147627 | Brookshire Grocery Company | Pharmacy | 420 Hospital Rd, New Roads, LA 70760-2623 | 2018-03-13 |
| 1295248672 | Brookshire Grocery Company | Pharmacy | 1500 Bonin Rd, Youngsville, LA 70592-5102 | 2017-11-08 |
| 1750811295 | Brookshire Grocery Company | Pharmacy | 200 Destination Pointe Ln., Scott, LA 70583 | 2017-06-18 |
| 1962874602 | Brookshire Grocery Company | Pharmacy | 172 Centennial Pkwy, Tyler, TX 75703 | 2015-10-21 |
| 1033592514 | Brookshire Grocery Company | Pharmacy | 1801 N 18th St, Monroe, LA 71201-4401 | 2015-07-02 |
| 1518300086 | Brookshire Grocery Company | Pharmacy | 2300 W Ennis Ave, Ennis, TX 75119-8039 | 2013-04-15 |
| 1710227202 | Brookshire Grocery Company | Pharmacy | 11205 N Hwy 289, Pottsboro, TX 75076 | 2013-02-21 |
| 1538407416 | Brookshire Grocery Company | Pharmacy | 1001 Joshua Station Boulevard, Joshua, TX 76058 | 2013-01-28 |
| 1487907051 | Brookshire Grocery Company | Pharmacy | 1200 S 3rd St, Mabank, TX 75147-7679 | 2012-10-19 |
| 1003182122 | Brookshire Grocery Company | Pharmacy | 3916 Ne Evangeline Trwy, Carencro, LA 70520-5972 | 2012-03-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Brookshire Grocery Company | 2 South Salisbury Street, Raleigh, NC 27601 |
| Washington State Corporations | BROOKSHIRE GROCERY COMPANY | 505 Union Ave Se Ste 120, Olympia, WA 98501 |
| Street Address |
1345 HWY 4 SPUR SW ATTENTION PHARMACY DEPT |
| City | CAMDEN |
| State | AR |
| Zip Code | 71701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164060638 | Jamie Blaine Brown | Pharmacist | 1345 Hwy 4 Spur Sw, Camden, AR 71701 | 2019-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104456854 | Teresa Mccann | Pharmacist | Brookshire's Pharmacy #85, 1345 Hwy 4 Spur Sw, Camden, AR 71701 | 2020-01-22 |
| 1366938870 | American Oncology Partners, P.a. | Internal Medicine | 115 Fairview Rd Sw, Camden, AR 71701 | 2018-07-09 |
| 1609236454 | Laquisha Kelley | Case Manager/Care Coordinator | 211 South Jackson Street, Camden, AR 71701 | 2016-03-07 |
| 1649654435 | Gerald Stinnett | Occupational Therapy Assistant | 431 Ouachita 51, Camden, AR 71701 | 2015-07-13 |
| 1902105232 | Joannie Phelps | Counselor | 301a Washington, Camden, AR 71701 | 2011-03-25 |
| 1053540732 | Judy Prince | Counselor | 115 Jefferson Sw, Camden, AR 71701 | 2009-07-02 |
| 1861641532 | Candace Bowen | Occupational Therapy Assistant | 1320 Maul North West Road, Camden, AR 71701 | 2008-09-17 |
| 1073739587 | Harmony Grove School District | Local Education Agency (LEA) | 401 Oua Rd 88, Camden, AR 71701 | 2007-04-17 |
| 1215055876 | Angela Mashel Rich | Counselor | 1269 California Sw, Camden, AR 71701 | 2007-03-26 |
| 1104954791 | Lisa H Stevens | Speech-Language Pathologist | 400 Maul Road, Camden, AR 71701 | 2007-03-02 |
| Find all providers in zip 71701 | ||||
| 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 |
|---|---|---|---|---|
| 1881233146 | Santram Health LLC | Pharmacy | 4598 S Dupont Hwy, Camden, DE 19934-1380 | 2020-01-03 |
| 1427604578 | Superdrug Pharmacy Inc | Pharmacy | 1492 Mount Ephraim Ave, Camden, NJ 08104-1550 | 2019-08-14 |
| 1992049126 | Rivercare Solutions LLC | Pharmacy | 3213 River Rd, Camden, NJ 08105-4215 | 2012-11-09 |
| 1215241393 | Raghu Ram Inc | Pharmacy | 3703 Westfield Ave, Camden, NJ 08105 | 2010-08-02 |
| 1760525489 | Rxd Pharmacy of Nj Inc | Pharmacy | 1805 Broadway, A&b Drugs, Camden, NJ 08102 | 2007-02-14 |
| 1114060829 | Rxd Pharmacy of Nj Inc | Pharmacy | 617 Broadway Ave, Ellis Drugs, Camden, NJ 08103 | 2007-02-14 |
| 1093864654 | Eureka Drug Stores, Inc. | Pharmacy | 1032 Broad St, Camden, SC 29020-4308 | 2007-01-10 |
| 1659444297 | Micrimar Inc | Pharmacy | 221 S Broadway, Camden, NJ 08103-1287 | 2006-11-15 |
| 1437229713 | Medsinbox Ltc LLC | Pharmacy | 2319 Federal St, Camden, NJ 08105-1929 | 2006-11-08 |
| 1336235902 | Jayhawk Holdings Inc | Pharmacy | 2626 Federal St, Camden, NJ 08105-1936 | 2006-10-04 |
| Find all providers in CAMDEN | ||||
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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.