BROOKSHIRE GROCERY COMPANY (NPI# 1821161399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821161399 |
| Entity Type | Organization |
| Organization Name | BROOKSHIRE GROCERY COMPANY |
| Other Organization Name | BROOKSHIRES PHARMACY |
| Practice Address |
213 Us Highway 69 N Attention Pharmacy Dept Bullard TX 75757-5135 |
| Mailing Address |
1600 W Sw Loop 323 Po Box 1411 Tyler TX 75701-8532 |
| Practice Telephone | 9038949648 |
| Practice Fax Number | 9038943860 |
| Mailing Telephone | 9038776827 |
| Mailing Fax Number | 9038773820 |
| Enumeration Date | 2006-11-15 |
| 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 |
22908 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2099652 | 01 | |
| TX | 465534 | 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 |
213 US HIGHWAY 69 N ATTENTION PHARMACY DEPT |
| City | BULLARD |
| State | TX |
| Zip Code | 75757-5135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079960 | Glen Avery Winegeart | Pharmacist | 213 Us Highway 69 N, Bullard, TX 75757-5135 | 2020-09-29 |
| 1023625514 | Sandra Irish Anderson | Pharmacist | 213 Us Highway 69 N, Bullard, TX 75757-5135 | 2020-09-28 |
| 1508473489 | Amanda Marie Brister | Pharmacist | 213 Us Highway 69 N, Bullard, TX 75757-5135 | 2020-09-25 |
| 1306451760 | Patricia Reininger | Pharmacist | 213 Us Highway 69 N, Bullard, TX 75757-5135 | 2020-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770131773 | Bluebonnet Point Wellness, LLC | Skilled Nursing Facility | 151 Heritage Springs Drive, Bullard, TX 75757 | 2019-09-03 |
| 1649793365 | Vanessa Mae Dockter | Specialist/Technologist | 1426 South Houston, Bullard, TX 75757 | 2017-07-25 |
| 1912398348 | Obach Physical Therapy Clinic LLC | Physical Therapist | 200 County Road 3801, Bullard, TX 75757 | 2015-02-06 |
| 1851734792 | Bullard Independent School District | Local Education Agency (LEA) | 1426b S Houston, Bullard, TX 75757 | 2013-04-10 |
| 1063700110 | Ralph Rosauro Mendoza Obach | Physical Therapist | 200 County Rd 3801, Bullard, TX 75757 | 2011-07-11 |
| 1346424678 | Jennifer Marie King | Physical Therapy Assistant | 106 Hickory St, Bullard, TX 75757 | 2007-12-21 |
| 1073698585 | Ferrell Roper Clinic, Pllc | Nurse Practitioner | 105 North Phillips Street, Bullard, TX 75757 | 2006-10-25 |
| 1215974373 | Bullard Family Medicine, P.a. | Family Medicine | 395 Highway 69 North, Bullard, TX 75757 | 2006-05-31 |
| 1346290723 | Linda G Roper | Nurse Practitioner | 105 Phillips St., Bullard, TX 75757 | 2006-05-10 |
| 1184622318 | All Home Infusion Inc | Durable Medical Equipment & Medical Supplies | 16541 Fm 344, Bullard, TX 75757 | 2005-07-12 |
| Find all providers in zip 75757 | ||||
| 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] |
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|---|---|---|---|---|
| 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 | ||||
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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.