BROOKSHIRE GROCERY COMPANY


Address: 880 E State Highway 243, Canton, TX 75103
Phone: 9035672403

BROOKSHIRE GROCERY COMPANY (NPI# 1922243906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922243906
Entity Type Organization
Organization Name BROOKSHIRE GROCERY COMPANY
Other Organization Name BROOKSHIRE PHARMACY
Practice Address 880 E State Highway 243
Canton
TX 75103
Mailing Address Po Box 1411
Tyler
TX 75710-1411
Practice Telephone 9035672403
Practice Fax Number 9035674801
Mailing Telephone 9038776827
Mailing Fax Number 9038773820
Enumeration Date 2008-12-05
Last Update Date 2012-11-06
Authorized Official Name JIM COUSINEAU (VP PHARMACY OPERATIONS)
Authorized Official Telephone 9038776862
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
26062 TX Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP PROVIDER IDENTIFICATION NUMBER 4550453 01

Other Provider/Organization Names

Other Name Type Code
Brookshire Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 880 E STATE HIGHWAY 243
City CANTON
State TX
Zip Code 75103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366049595 Lindsay Burgess Pharmacist 880 E State Highway 243, Canton, TX 75103-2416 2020-10-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265095202 Brandi Jo Foster Nurse Practitioner 4437 Etheride Circle, Canton, TX 75103 2019-04-16
1124595087 Melissa Williams Nurse Practitioner 1108 So. Buffalo St, Canton, TX 75103 2018-10-30
1295218667 Jennifer Elaine Moore Registered Nurse 185 Vz Cr 2103, Canton, TX 75103 2018-09-12
1568945921 Kelsey Lauren Nixon Registered Nurse 5640 Vzcr 4106, Canton, TX 75103 2018-09-12
1649770496 Chelsea Boshart Registered Nurse 150 Vz Cr 4130, Canton, TX 75103 2018-02-19
1396292918 Deanne Wheeler Hearing Instrument Specialist 150 E. Dallas Street, Canton, TX 75103 2016-09-01
1356701221 Betsy Jill Chappell Nurse Practitioner 406 Tx-243, Canton, TX 75103 2016-03-04
1326435199 Forever Kids Pediatric Clinic Clinic/Center 182 Privatet Road 6413, Canton, TX 75103 2015-04-20
1417255233 Dallas County Hospital District Skilled Nursing Facility 1901 S Trade Days Blvd, Canton, TX 75103 2011-03-02
1285833533 Sondra J Mahoney Counselor 1343 Vz Cr 4414, Canton, TX 75103 2007-07-17
Find all providers in zip 75103

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992367767 Canton Family Pharmacy Pharmacy 145 N Haggerty Rd, Canton, MI 48187-3901 2019-07-02
1447734496 Integrated Health Pharmacy LLC Pharmacy 49650 Cherry Hill Rd., Canton, MI 48187 2018-09-16
1497236533 Discount Drug Mart Inc Pharmacy 2710 Easton St Ne Ste A, Canton, OH 44721-2691 2018-08-27
1356838890 Hickory Drugs Pharmacy 6679 Hickory Flat Hwy, Canton, GA 30115-9225 2018-04-19
1376054833 Cherry Hill Village Pharmacy LLC Pharmacy 50429 Independence St, Canton, MI 48188 2017-10-23
1932494473 Kat International Group Inc Pharmacy 1750 Marietta Hwy Ste 260, Canton, GA 30114-8388 2011-06-13
1386941326 Niemann Foods Inc Pharmacy 1805 Elm St, Canton, MO 63435-1685 2011-02-25
1285948588 Jay Krishna LLC Pharmacy 7309 N Lilley Rd, Canton, MI 48187-2457 2010-07-29
1003129982 Canton Specialty Pharmacy LLC Pharmacy 305 N Lilley Rd, Canton, MI 48187-3908 2010-07-20
1992948574 Healthplus Pharmacy, Inc. Pharmacy 49650 Cherry Hill Rd Ste 140, Canton, MI 48187-4857 2009-04-13
Find all providers in CANTON

Competitor

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City CANTON
Zip Code 75103

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Dataset Information

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.

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