BROOKSHIRE GROCERY COMPANY (NPI# 1558434886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558434886 |
Entity Type | Organization |
Organization Name | BROOKSHIRE GROCERY COMPANY |
Other Organization Name | BROOKSHIRES PHARMACY |
Practice Address |
900 Fm 3220 Attention Pharmacy Dept Clifton TX 76634-1000 |
Mailing Address |
Brookshire Grocery Company Po Box 1411 Tyler TX 75710-1411 |
Practice Telephone | 2546753007 |
Practice Fax Number | 2546753008 |
Enumeration Date | 2006-11-16 |
Last Update Date | 2016-05-09 |
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 |
20353 | TX | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 464507 | 05 | |
PK | 2093498 | 01 |
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 |
900 FM 3220 ATTENTION PHARMACY DEPT |
City | CLIFTON |
State | TX |
Zip Code | 76634-1000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316553928 | Phillip Bowers | Pharmacist | 900 Fm 3220, Clifton, TX 76634-1000 | 2020-09-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053911396 | Ko Dental Group, PC | Dentist | 302 S. Avenue Q, Clifton, TX 76634 | 2020-10-27 |
1720626336 | Chelsie Guinn | Pharmacist | 900 Fm 3200, Clifton, TX 76634 | 2019-12-13 |
1396872651 | Lutheran Sunset Ministries | Hospice Care, Community Based | 113 S. Ave D, Clifton, TX 76634 | 2007-02-27 |
1396813028 | Lutheran Sunset Ministries | Skilled Nursing Facility | 1800 West 9th, Clifton, TX 76634 | 2006-12-01 |
1043214059 | Dee Anna Walker | Dentist | 302 South Avenue Q, Clifton, TX 76634 | 2005-06-08 |
1487136818 | Melissa Daniell | Physical Therapy Assistant | 1000 Fm 3220, Clifton, TX 76634 | 2018-09-01 |
1982115739 | Pillsbury Counseling Pllc | Social Worker | 101 Posey Ave, Clifton, TX 76634 | 2017-10-19 |
1376664847 | Robert Lance Urbanovsky | Chiropractor | 202 N Ave G, Clifton, TX 76634-0384 | 2007-04-03 |
1205032919 | Debra Kay Elwell | Nurse Practitioner | 101 S. Ave T, Clifton, TX 76634-0549 | 2007-06-21 |
1376861476 | Barbara D Weir | Nurse Practitioner | 201 S. Avenue T, Clifton, TX 76634-0855 | 2010-05-13 |
Find all providers in zip 76634 |
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 |
---|---|---|---|---|
1225543093 | Main Plaza Pharmacy LLC | Pharmacy | 988 Main Ave, Clifton, NJ 07011-2478 | 2017-12-02 |
1730531286 | Dr. Mustafa Faraj, LLC | Pharmacy | 244 Lakeview Ave, Clifton, NJ 07011-4051 | 2016-07-08 |
1255623112 | Main Avenue Pharmacy Corp | Pharmacy | 1094 Main Ave Ste A, Clifton, NJ 07011-2384 | 2011-05-11 |
1134202450 | New Jersey Cvs Pharmacy LLC | Pharmacy | 16 Main Ave, Clifton, NJ 07014-1908 | 2006-10-23 |
1841393667 | New Jersey Cvs Pharmacy LLC | Pharmacy | 515 Allwood Rd, Clifton, NJ 07012-2160 | 2006-09-07 |
1568573376 | U-pharm Inc | Pharmacy | 828 Clifton Ave, Clifton, NJ 07013-1816 | 2006-08-31 |
1295846665 | Van Houten Pharmacy Inc. | Pharmacy | 669 Van Houten Ave, Clifton, NJ 07013-2125 | 2006-08-31 |
1629188248 | Costco Wholesale Corporation | Pharmacy | 20 Bridewell Pl, Clifton, NJ 07014 | 2006-08-30 |
1366068074 | Bluejay Health LLC | Pharmacy | 88 Market St, Clifton, NJ 07012-2404 | 2020-06-18 |
1508381328 | Walgreen Co | Pharmacy | 1366 Clifton Ave, Clifton, NJ 07012-1453 | 2017-08-14 |
Find all providers in CLIFTON |
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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.