BROOKSHIRE GROCERY COMPANY (NPI# 1982777215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982777215 |
| Entity Type | Organization |
| Organization Name | BROOKSHIRE GROCERY COMPANY |
| Other Organization Name | BROOKSHIRES PHARMACY |
| Practice Address |
701 S Highway 78 Attention Pharmacy Dept Wylie TX 75098-4004 |
| Mailing Address |
1600 W Sw Loop 323 Po Box 1411 Tyler TX 75701-8532 |
| Practice Telephone | 9724425525 |
| Practice Fax Number | 9724421699 |
| Mailing Telephone | 9038776827 |
| Mailing Fax Number | 9038773820 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2016-05-09 |
| 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 |
16538 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2105022 | 01 | |
| TX | 463967 | 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 |
701 S HIGHWAY 78 ATTENTION PHARMACY DEPT |
| City | WYLIE |
| State | TX |
| Zip Code | 75098-4004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851926182 | Ashley Michelle Akers | Counselor | 303 Tx-78, #100, Wylie, TX 75098 | 2020-03-06 |
| 1033742762 | Neuro Care LLC | Psychiatry & Neurology | 801 S Tx- 78, Wylie, TX 75098 | 2020-02-21 |
| 1720623515 | Dentalhub of Wylie | Clinic/Center | 3483 W.fm 544, Unit- 112, Wylie, TX 75098 | 2019-11-15 |
| 1780144147 | Rxcare Pharmacy, LLC | Pharmacy | 209 N Ballard Ave, Wylie, TX 75098 | 2019-03-21 |
| 1659830081 | Bv Dental, Pllc | Clinic/Center | 330 S. State Highway 78, Suite 200, Wylie, TX 75098 | 2019-03-15 |
| 1407329352 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 8516 Parker Rd E., Wylie, TX 75098 | 2019-01-03 |
| 1396215620 | Lilian Abagwe | Nurse Practitioner | 1108 Ann Dr, Wylie, Wylie, TX 75098 | 2018-11-29 |
| 1114408507 | Stephen Clayton Heath | Occupational Therapy Assistant | 721 Tx-78, Wylie, TX 75098 | 2018-08-24 |
| 1831677400 | Melody Lea Stoker | Physical Therapy Assistant | 3400 Mcmillen Rd Apt 1028, Wylie, TX 75098 | 2018-08-05 |
| 1619465234 | Olufemi Fadahunsi, Dds, PC | Dentist | 2810 W. Fm544, Suite 100, Wylie, TX 75098 | 2018-04-30 |
| Find all providers in zip 75098 | ||||
| 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 |
|---|---|---|---|---|
| 1174189468 | Plano Medical Plaza Pharmacy LLC | Pharmacy | 2771 W Fm 544 Ste 102, Wylie, TX 75098-7061 | 2019-05-13 |
| 1073036570 | Kb Pharmacy LLC | Pharmacy | 2005 Jayden Ln, Wylie, TX 75098-6031 | 2017-07-18 |
| 1225479819 | Wylie Pharmacy LLC | Pharmacy | 430 S Highway 78 Ste 160, Wylie, TX 75098-3974 | 2013-07-11 |
| 1699879411 | Cvs Pharmacy Inc | Pharmacy | 750 W Kirby St, Wylie, TX 75098-3913 | 2006-09-12 |
| 1396343588 | Helios Pharmacy LLC | Pharmacy | 430 S Highway 78 Ste 160, Wylie, TX 75098-3974 | 2020-10-12 |
| 1093285843 | Mrc Health, LLC | Pharmacy | 2300 W Fm 544 Ste 130, Wylie, TX 75098-4903 | 2018-12-04 |
| 1639681315 | Fc Pharmacy LLC | Pharmacy | 430 S Highway 78 Ste 160, Wylie, TX 75098-3974 | 2017-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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.