BROOKSHIRE GROCERY COMPANY (NPI# 1639242100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639242100 |
Entity Type | Organization |
Organization Name | BROOKSHIRE GROCERY COMPANY |
Other Organization Name | BROOKSHIRES PHARMACY |
Practice Address |
807 E Tyler St Attention Pharmacy Dept Athens TX 75751-2139 |
Mailing Address |
1600 W Sw Loop 323 Po Box 1411 Tyler TX 75701-8532 |
Practice Telephone | 9036754211 |
Practice Fax Number | 9036754160 |
Mailing Telephone | 9038776827 |
Mailing Fax Number | 9038773820 |
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 |
15883 | TX | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 463947 | 05 | |
PK | 2102402 | 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 |
807 E TYLER ST ATTENTION PHARMACY DEPT |
City | ATHENS |
State | TX |
Zip Code | 75751-2139 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588261671 | Mendy Pabren Tolbert | Pharmacist | 807 E Tyler St, Athens, TX 75751-2139 | 2020-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700414810 | Morghan Jungman | Physical Therapy Assistant | 6444 South Palestine St, Athens, TX 75751 | 2020-04-01 |
1497313340 | Rebecca Lynne Moehlenbrock | Physical Therapy Assistant | 711 Lucas Dr., Athens, TX 75751 | 2019-06-04 |
1013487669 | Jammie Jae Chaney | Licensed Vocational Nurse | 207 Colonial Circle, Athens, TX 75751 | 2018-11-27 |
1215423397 | Valarie M Chambless | Registered Nurse | 1505 Hwy. 19 South, Athens, TX 75751 | 2018-07-02 |
1609378181 | Jennifer Lynn Griffith | Occupational Therapist | 907 S Palenstine St., Athens, TX 75751 | 2018-03-01 |
1285931832 | Leonard J Barbarisi | Surgery | 6444 S Palestine, Athens, TX 75751 | 2011-02-17 |
1801123104 | Paul J Michiels | Family Medicine | 5313 Fm 2494, Athens, TX 75751 | 2009-11-06 |
1851527550 | Jordan Risinger | Dentist | 800 S. Palestine St., Athens, TX 75751 | 2009-06-08 |
1306005798 | Shawn Tai | Internal Medicine | 115 Medical Cir Ste 106, Athens, TX 75751 | 2008-06-02 |
1083730683 | Assisted Living Concepts Inc | Assisted Living Facility | 213 Cayuga Drive, Athens, TX 75751 | 2007-03-22 |
Find all providers in zip 75751 |
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 |
---|---|---|---|---|
1720565963 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 22454 Us Hwy 72, Suite 120, Athens, AL 35613 | 2018-07-20 |
1811413701 | Lifecare Pharmacy Ga Corp | Pharmacy | 130 Gains School Rd, Athens, GA 30605 | 2017-08-22 |
1891154647 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 700 W. Market Street, Suite 100, Athens, AL 35611 | 2016-02-22 |
1790188779 | U Save Pharmacies LLC | Pharmacy | 1285 Hwy 72 E, Athens, AL 35611 | 2014-10-03 |
1497176564 | Hometown Pharmacy of Limestone County, LLC | Pharmacy | 100 Highway 31, Suite H, Athens, AL 35611 | 2013-12-17 |
1952660490 | Ingles Markets Inc. | Pharmacy | 917 Decatur Pike, Athens, TN 37303-3037 | 2012-05-03 |
1144358466 | Jkbc Wolf Inc | Pharmacy | 1001 W Madison Ave, Athens, TN 37303 | 2007-02-28 |
1083719843 | Riddle and Wallace Drug | Pharmacy | 8 Washington Ave, Athens, TN 37303 | 2006-09-14 |
1932203726 | Cvs Pharmacy Inc | Pharmacy | 702 E Tyler St, Athens, TX 75751-2112 | 2006-09-12 |
1215030739 | Ohio Cvs Stores LLC | Pharmacy | 32 S Court St, Athens, OH 45701-2810 | 2006-09-07 |
Find all providers in ATHENS |
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.