BROOKSHIRE GROCERY COMPANY


Address: 1117 Polk St, Attention Pharmacy Dept, Mansfield, LA 71052-2524
Phone: 3188712976

BROOKSHIRE GROCERY COMPANY (NPI# 1215000781) 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) 1215000781
Entity Type Organization
Organization Name BROOKSHIRE GROCERY COMPANY
Other Organization Name BROOKSHIRES PHARMACY
Practice Address 1117 Polk St
Attention Pharmacy Dept
Mansfield
LA 71052-2524
Mailing Address 1600 W Sw Loop 323
Po Box 1411
Tyler
TX 75701-8532
Practice Telephone 3188712976
Practice Fax Number 3188712977
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
4038 LA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2033747 01
LA 1266043 05

Other Provider/Organization Names

Other Name Type Code
BROOKSHIRES 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 1117 POLK ST
ATTENTION PHARMACY DEPT
City MANSFIELD
State LA
Zip Code 71052-2524

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932750411 Jameia Waggoner Pharmacist 1117 Polk St, Mansfield, LA 71052-2524 2019-09-25
1467725408 Wanda Anderson Hanna Pharmacist 1117 Polk St, Mansfield, LA 71052-2524 2012-02-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689186421 Bridgette Williams Counselor 419 Washington Street, Mansfield, LA 71052 2017-11-02
1922527217 Cherlyndria Wyatt Counselor 108 Hope St, Mansfield, LA 71052 2017-09-18
1619342433 Stanley Cunningham Counselor 125 Canary Lane, Mansfield, LA 71052 2015-12-04
1578936480 Comiseia Jones Counselor 2102 N Park Ave, Mansfield, LA 71052 2015-11-02
1932571023 Elichia Bennett Counselor 584 Antioch Rd, Mansfield, LA 71052 2015-10-28
1912378597 Angela Mcintyre Case Manager/Care Coordinator 162 Division St, Mansfield, LA 71052 2015-10-08
1144690645 Edwina Elrod Eley Nurse Practitioner 7356 Highway 509, Mansfield, LA 71052 2015-09-28
1760746176 Amy Melton Robbins Occupational Therapist 558 Turner Robbins Rd, Mansfield, LA 71052 2012-06-29
1811209232 Desoto Healthcare Center Inc. Internal Medicine 938 Louise St, Mansfield, LA 71052 2010-07-14
1174786263 Frances Jackson Speech-Language Pathologist 508 Rea Street, Mansfield, LA 71052 2008-07-08
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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
1316439748 Ambika Pharmacy LLC Pharmacy 2300 Matlock Rd Ste 37, Mansfield, TX 76063-5018 2018-06-01
1992104194 Shatiff Pharmacy Inc Pharmacy 2771 E Broad St Ste 219, Mansfield, TX 76063-9157 2014-08-14
1124459870 Melrose Pharmacy LLC Pharmacy 2860 Highway 157 N Ste 120, Mansfield, TX 76063-8883 2013-12-06
1205922457 Coles Pharmacy Pharmacy 2 S Main Street, Mansfield, PA 16933-1508 2006-10-05
1043311509 Pennsylvania Cvs Pharmacy, L.L.C. Pharmacy 197 N Main St, Mansfield, PA 16933-1311 2006-09-26
1467551838 Cvs Pharmacy Inc Pharmacy 261 Chauncy St, Mansfield, MA 02048-1247 2006-09-22
1427156272 Cvs Pharmacy Inc Pharmacy 2882 N Fm 157, Mansfield, TX 76063 2006-09-20
1245334036 Cvs Pharmacy Inc Pharmacy 1100 N Walnut Creek Dr, Mansfield, TX 76063-2502 2006-09-12
1063515765 Ohio Cvs Stores LLC Pharmacy 1411 Lexington Ave, Mansfield, OH 44907-2629 2006-09-07
1679588644 Walgreen Co Pharmacy 750 N Walnut Creek Dr, Mansfield, TX 76063-3208 2006-07-29
Find all providers in MANSFIELD

Competitor

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City MANSFIELD
Zip Code 71052

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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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