BROOKSHIRE GROCERY COMPANY (NPI# 1568535037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568535037 |
| Entity Type | Organization |
| Organization Name | BROOKSHIRE GROCERY COMPANY |
| Other Organization Name | BROOKSHIRES PHARMACY |
| Practice Address |
501 E Broadway St Attention Pharmacy Dept Sweetwater TX 79556-4623 |
| Mailing Address |
1600 W Sw Loop 323 Po Box 1411 Tyler TX 75701-8532 |
| Practice Telephone | 3252366883 |
| Practice Fax Number | 3252353104 |
| Mailing Telephone | 9038776827 |
| Mailing Fax Number | 9038773820 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2016-06-03 |
| 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 |
22011 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 465240 | 05 | |
| PK | 2097862 | 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 |
501 E BROADWAY ST ATTENTION PHARMACY DEPT |
| City | SWEETWATER |
| State | TX |
| Zip Code | 79556-4623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033725627 | Kolton Rucks Bevel | Pharmacist | 501 E Broadway St, Sweetwater, TX 79556-4623 | 2020-09-18 |
| 1811534159 | Stevee Short | Pharmacist | 501 E Broadway St, Sweetwater, TX 79556-4623 | 2019-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932680972 | Rebecca Jane Rees | Counselor | 808 1/2 East Broadway, Sweetwater, TX 79556 | 2018-08-28 |
| 1811324080 | Byron Heath Patterson | Pharmacist | 210 Sw Georgia Ave, Sweetwater, TX 79556 | 2013-10-03 |
| 1598034506 | Norma Linda Leal | Pharmacist | 210 S. W. Georgia Ave, Sweetwater, TX 79556 | 2011-12-20 |
| 1609023746 | Donald J. Armstrong Jr. | Counselor | 113 W. 3rd St., Sweetwater, TX 79556 | 2008-08-20 |
| 1023280724 | Chas L Mcglothlin | Durable Medical Equipment & Medical Supplies | 1107b E Broadway, Sweetwater, TX 79556 | 2008-04-02 |
| 1023134590 | Assisted Living Concepts Inc | Assisted Living Facility | 1700 Hoyt Avenue, Sweetwater, TX 79556 | 2007-03-22 |
| 1467598771 | Randy S May | Dentist | 302 East Third St, Sweetwater, TX 79556 | 2007-01-30 |
| 1437200573 | City of Sweetwater | Home Delivered Meals | 1701 Elm St, Sweetwater, TX 79556 | 2007-01-16 |
| 1669567277 | Paul Edward Byers | Nurse Anesthetist, Certified Registered | 200 East Arizona Avenue, Sweetwater, TX 79556 | 2006-10-03 |
| 1972602829 | Gilbert S. Carreon | Dentist | 500 Lamar, Sweetwater, TX 79556 | 2006-09-21 |
| Find all providers in zip 79556 | ||||
| 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 |
|---|---|---|---|---|
| 1609117720 | Wal-mart Stores East Lp | Pharmacy | 935 State Highway 11 South, Sweetwater, TN 37874 | 2013-03-14 |
| 1003920091 | Sweetwater Worx LLC | Pharmacy | 800 New Highway 68, Sweetwater, TN 37874-1905 | 2006-08-18 |
| 1750326955 | Premium Medical Equipment Supplies Corp | Pharmacy | 11400 W. Flager St, Suite #108, Sweetwater, FL 33174 | 2006-06-19 |
| 1316544372 | Circle H. Healthcare, Pllc | Pharmacy | 510 S Main St, Sweetwater, TN 37874-2705 | 2020-10-02 |
| 1205118288 | Freds Stores of Tennessee Inc | Pharmacy | 205 N Main St, Sweetwater, TN 37874-2806 | 2011-09-15 |
| 1710103726 | Walgreen Co. | Pharmacy | 929 New Highway 68, Sweetwater, TN 37874-2726 | 2007-04-18 |
| 1194746156 | Ideal Drugs Inc | Pharmacy | 510 S Main St, Sweetwater, TN 37874-2705 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790575 | Nextlevel Pharmaceuticals LLC | Pharmacy | 1110 Texas Pkwy, Stafford, TX 77477-6419 | 2020-11-06 |
| 1629679410 | Duehan Tran Ngo | Pharmacy | 403 W Sam Houston Pkwy N, Houston, TX 77024-4736 | 2020-11-06 |
| 1679174882 | Comanche County Medical Center Company | Pharmacy | 1870 State Hwy 36, Rising Star, TX 76471 | 2020-11-04 |
| 1629679717 | Edith Achebodt | Pharmacy | 2233 Avenue J Ste 103b, Arlington, TX 76006-5884 | 2020-11-04 |
| 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 | SWEETWATER |
| Zip Code | 79556 |
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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.