BROOKSHIRE GROCERY COMPANY (NPI# 1578636049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578636049 |
| Entity Type | Organization |
| Organization Name | BROOKSHIRE GROCERY COMPANY |
| Other Organization Name | SUPER 1 PHARMACY |
| Practice Address |
602 Jefferson Park Attention Pharmacy Dept Mt Pleasant TX 75455 |
| Mailing Address |
Po Box 1411 Tyler TX 75710-1411 |
| Practice Telephone | 9035751610 |
| Practice Fax Number | 9035751607 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2016-08-10 |
| 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 |
21001 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2095835 | 01 | |
| TX | 464887 | 05 |
| Other Name | Type Code |
|---|---|
| SUPER 1 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 |
602 JEFFERSON PARK ATTENTION PHARMACY DEPT |
| City | MT PLEASANT |
| State | TX |
| Zip Code | 75455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801351242 | Dan P Mccauley Dds Pa | Dentist | 1603 North Jefferson Avenue, Mount Pleasant, TX 75455 | 2019-02-08 |
| 1427565282 | Thelma Louise Frazier | Registered Nurse | 2610 Greenhill Rd, Mount Pleasant, TX 75455 | 2018-01-02 |
| 1750812921 | Titus County Hospital District | Clinic/Center | 2015 Mulberry Ave Ste 260, Mount Pleasant, TX 75455 | 2017-03-21 |
| 1003367780 | Valerie Ann Snyder | Nurse Practitioner | 203 W 20th St Ste C, Mt Pleasant, TX 75455 | 2016-10-18 |
| 1417316803 | Gaurav Narang | Dentist | 1401 S. Jefferson Blvd., 4, Mount Pleasant, NV 75455 | 2016-02-15 |
| 1366828972 | The Lodge Assisted Living/memory Care | Assisted Living Facility | 1880 W 16th St, Mt Pleasant, TX 75455 | 2015-08-05 |
| 1740665413 | Megan Nye | Chiropractor | 1318 South Jefferson, Mount Pleasant, TX 75455 | 2015-07-23 |
| 1407277239 | Northeast Texas Community College Dental Hygiene Clinic | Dentist | 2886 Fm 1735, Chapel Hill Road, Mt. Pleasant, TX 75455 | 2013-12-20 |
| 1588917694 | Titus County Hospital District | Clinic/Center | 1610 S Jefferson Ave, Mount Pleasant, TX 75455 | 2012-10-26 |
| 1760792030 | Kay Madelon Harmon | Occupational Therapist | 2003 N. Edwards, Plesant Springs Healthcare Center, Mt. Plesant, TX 75455 | 2010-10-20 |
| Find all providers in zip 75455 | ||||
| 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 |
|---|---|---|---|---|
| 1942842471 | Isabella Citizens for Health, Inc. | Pharmacy | 2790 Health Parkway, Mt Pleasant, MI 48858 | 2019-10-16 |
| 1669865762 | Capstone Pharmacy, Inc | Pharmacy | 210 N Jefferson St, Mt Pleasant, IA 52641-2017 | 2015-03-13 |
| 1417055567 | Mission Pharmacy, LLC | Pharmacy | 926 S Mission, Mt Pleasant, MI 48858 | 2006-09-20 |
| 1659475440 | Cvs Pharmacy Inc | Pharmacy | 601 S Jefferson Ave, Mt Pleasant, TX 75455-4836 | 2006-09-12 |
| 1932202785 | Pennsylvania Cvs Pharmacy LLC | Pharmacy | 700 Route 819 S, Mt Pleasant, PA 15666-2144 | 2006-09-07 |
| 1033212527 | South Carolina Cvs Pharmacy LLC | Pharmacy | 1401 Ben Sawyer Blvd, Mt Pleasant, SC 29464-4574 | 2006-09-07 |
| 1548251887 | William Mccarthy, Inc. | Pharmacy | 121 E Broadway St, Mt Pleasant, MI 48858-2360 | 2005-11-04 |
| 1548732928 | Kinzer Pharmacy, LLC | Pharmacy | 103 Public Sq, Mt Pleasant, TN 38474-1625 | 2018-12-21 |
| 1174048268 | Walgreen Co | Pharmacy | 801 N Main St, Mt Pleasant, TN 38474-1017 | 2017-08-09 |
| 1336161082 | South Carolina Cvs Pharmacy LLC | Pharmacy | 1300 Long Grove Dr, Mt Pleasant, SC 29464-9462 | 2006-07-24 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 75455 |
Please comment or provide details below to improve the information on BROOKSHIRE GROCERY COMPANY.
| 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.