BROOKSHIRE GROCERY COMPANY


Address: 143 Plaza Drive Ext, Attention Pharmacy Dept, Brandon, MS 39047
Phone: 6019926873

BROOKSHIRE GROCERY COMPANY (NPI# 1194898429) 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) 1194898429
Entity Type Organization
Organization Name BROOKSHIRE GROCERY COMPANY
Other Organization Name BROOKSHIRES PHARMACY #123
Practice Address 143 Plaza Drive Ext
Attention Pharmacy Dept
Brandon
MS 39047
Mailing Address Po Box 1411
Attention Pharmacy Dept
Tyler
TX 75710-1411
Practice Telephone 6019926873
Practice Fax Number 6019929615
Mailing Telephone 6019926873
Mailing Fax Number 9038776909
Enumeration Date 2006-11-16
Last Update Date 2008-02-27
Authorized Official Name JIM D COUSINEAU (VP PHARMACY OPERATIONS)
Authorized Official Telephone 9038776829
Authorized Official Credential RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 333600000X Pharmacy 03697 / 01.2 MS Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OTHER ID NUMBER-COMMERCIAL NUMBER 2521121 01
MS 0330684 05

Other Provider/Organization Names

Other Name Type Code
BROOKSHIRES PHARMACY #123 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 143 PLAZA DRIVE EXT
ATTENTION PHARMACY DEPT
City BRANDON
State MS
Zip Code 39047

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396368783 Siyuan Chen Kennedy Counselor 108 Sandstone Drive, Brandon, MS 39047 2020-05-20
1568019784 Juarez Brown Emerson Registered Nurse 426 Pinebrook Circle, Brandon, MS 39047 2019-08-22
1649764127 Specialty Diagnostics LLC Family Medicine 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 2018-06-19
1528423035 Kathlene Strangeman Social Worker 111 Lakeshore Dr Apt G403, Brandon, MS 39047 2015-12-28
1174935076 Anthony Davis Counselor 198 Bellegrove Cir, Brandon, MS 39047 2014-05-27
1144659178 Medical Foundation of Central Ms, Inc Family Medicine 1887 Spillway Rd., Brandon, MS 39047 2013-11-12
1437429941 Picton Timothy Evans Pharmacist 150 B Cumberland Ed, Brandon, MS 39047 2012-01-01
1275828030 Kathryn Audell Piburn Nurse Practitioner 1887 Spillway Rd Ste 140, Brandon, MS 39047 2011-06-09
1801930532 Susanne Reynolds Moore Dentist 1149 Old Fannin Rd, Suite 26, Brandon, MS 39047 2007-02-16
1972530632 Claudia Weir Anthony Nurse Practitioner 1887 Spillway Rd, Brandon, MS 39047 2006-06-27
Find all providers in zip 39047

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
1114449287 Family Drug Mart of Brandon, LLC Pharmacy 212 E Government St, Brandon, MS 39042-3152 2017-07-11
1194119875 H&o Specialty Pharmacy LLC Pharmacy 500 Vonderburg Dr Ste 113w, Brandon, FL 33511-5969 2015-03-20
1942587787 Freds Stores of Tennessee Inc Pharmacy 1898 Spillway Rd, Brandon, MS 39047-6063 2011-11-08
1295013530 Northeast Pharmaceuticals, Inc. Pharmacy 608 Marquette Road, Brandon, MS 39042 2011-08-03
1699079756 Balaji Pharma LLC Pharmacy 162 N Parsons Ave, Brandon, FL 33510 2011-01-04
1316261035 Alpha Drug Inc Pharmacy 1450 Oakfield Dr, Brandon, FL 33511-4853 2010-03-24
1811221385 Gudoc Pharmacy Pllc Pharmacy 106 S Parsons Ave, Brandon, FL 33511-5225 2009-09-30
1972743573 Choice Pharmacy #002 Pharmacy 401 S Parsons Ave, Suite C, Brandon, FL 33511-5292 2009-02-23
1255547915 F & B Drugs Inc Pharmacy 209 S Moon Avenue, Brandon, FL 33511 2007-05-16
1568532679 Bill's Prescription Center, Inc. Pharmacy 202 E Brandon Blvd, Brandon, FL 33511-5221 2006-11-08
Find all providers in BRANDON

Competitor

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City BRANDON
Zip Code 39047

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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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