BROOKSHIRE GROCERY COMPANY (NPI# 1871666347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871666347 |
| Entity Type | Organization |
| Organization Name | BROOKSHIRE GROCERY COMPANY |
| Other Organization Name | SUPER 1 PHARMACY |
| Practice Address |
604 Macarthur Dr Attention Pharmacy Dept Alexandria LA 71303-3111 |
| Mailing Address |
1600 W Sw Loop 323 Po Box 1411 Tyler TX 75701-8532 |
| Practice Telephone | 3184425710 |
| Practice Fax Number | 3184424887 |
| Mailing Telephone | 9038776827 |
| Mailing Fax Number | 9038773820 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2015-12-22 |
| 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 |
002890 | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2032972 | 01 | |
| LA | 1261602 | 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 |
604 MACARTHUR DR ATTENTION PHARMACY DEPT |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71303-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053969964 | Hunter Dean | Pharmacist | 604 Macarthur Dr, Alexandria, LA 71303 | 2019-09-04 |
| 1063785822 | Pamela Nicole Bordelon | Pharmacist | 604 Macarthur Dr, Alexandria, LA 71303-3111 | 2012-02-09 |
| 1023398120 | Jill Ford | Pharmacist | 604 Macarthur Dr, Alexandria, LA 71303-3111 | 2011-08-19 |
| 1679881999 | Matthew Jeremy Dawson | Pharmacist | 604 Macarthur Dr, Alexandria, LA 71303-3111 | 2010-09-21 |
| 1255464970 | Valarie W. Hammond | Pharmacist | 604 Macarthur Dr, Alexandria, LA 71303-3111 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
| 1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
| 1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
| 1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
| 1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
| 1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
| 1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
| 1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
| 1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
| 1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
| Find all providers in zip 71303 | ||||
| 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 |
|---|---|---|---|---|
| 1174151716 | Vandorn Apothecary LLC | Pharmacy | 5724 Edsall Rd Alexandria Va 22304, Alexandria, VA 22304-4712 | 2020-03-30 |
| 1427570258 | Medplus Ac Inc. | Pharmacy | 6020 Richmond Hwy Ste 202, Alexandria, VA 22303-2157 | 2017-07-13 |
| 1346777000 | Old Dominion Pharmacy LLC | Pharmacy | 8792 Sacramento Dr, Suite I, Alexandria, VA 22309-1676 | 2017-05-12 |
| 1467861161 | Harris Teeter LLC | Pharmacy | 735 N Saint Asaph St, Alexandria, VA 22314-1911 | 2014-08-06 |
| 1114362076 | Costco Wholesale Corporation | Pharmacy | 7940 Richmond Hwy, Alexandria, VA 22306 | 2013-05-06 |
| 1801134028 | Wildel, LLC | Pharmacy | 403 Bolton Ave, Alexandria, LA 71301-7026 | 2013-01-23 |
| 1467767194 | Wildel, LLC | Pharmacy | 3311 3rd St, Alexandria, LA 71302-5704 | 2010-08-18 |
| 1568620946 | Walgreen Co | Pharmacy | 7629 Richmond Hwy, Alexandria, VA 22306-2802 | 2008-06-02 |
| 1215123096 | Walgreen Co | Pharmacy | 615 King St, Alexandria, VA 22314-3105 | 2007-09-14 |
| 1649474453 | Wildel, LLC | Pharmacy | 4740 Jackson Street Ext, Alexandria, LA 71303-2505 | 2007-06-14 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71303 |
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.