NPIMap

Organization Active NPI

Brookshire Grocery Company

Doing business as Reasor's Pharmacy #918

  • Community/Retail Pharmacy
  • Owasso, OK
National Provider Identifier
1083807697
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BROOKSHIRE GROCERY COMPANY
Doing business as
Reasor's Pharmacy #918
Practice address
11550 N 135TH East Ave
Owasso, OK 74055-5739
Phone
(918) 371-6455
Fax
(918) 371-6453
NPI assigned
Aug 27, 2007
Last updated
May 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Neil Ducote
Title
VP Pharmacy
Phone
(903) 600-1376

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

11550 N 135TH East Ave
Owasso, OK 74055-5739

Mailing address

1600 WSW Loop 323
Tyler, TX 75701-8532

Other names 1

  • Reasor's Pharmacy #918 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240725004696 OK Part B Supplier - Mass Immunization (Roster Biller Only) 1355415712 17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sand Springs, OK; Sapulpa, OK; Tahlequah, OK; Tulsa, OK; Owasso, OK; Bixby, OK; Broken Arrow, OK; Claremore, OK…

Other NPIs on the same Medicare enrollment 17

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 17

National Provider Directory

National Provider Directory
Tax ID family
Brookshire Grocery Company21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

11116 S Memorial Dr
#22
Bixby, OK 74008
Phone (918) 970-4919

1100 E Kenosha St
#14
Broken Arrow, OK 74012
Phone (918) 251-1295

3701 S Elm Pl
Broken Arrow, OK 74011
Phone (918) 455-3902

3701 S Elm Pl
#8
Broken Arrow, OK 74011
Phone (918) 455-8102

2500 N Highway 66
#17
Catoosa, OK 74015
Phone (918) 266-8113

1000 W Will Rogers Blvd
#4
Claremore, OK 74017
Phone (918) 341-4557

446 S Elm St
#20
Jenks, OK 74037
Phone (918) 299-2684

11550 N 135th East Ave
Owasso, OK 74055
Phone (918) 371-6455

11550 N 135th East Ave
#18
Owasso, OK 74055
Phone (918) 371-6455

11815 E 86th St N
#9
Owasso, OK 74055
Phone (918) 273-3030

3925 S State Highway 97
#21
Sand Springs, OK 74063
Phone (918) 246-7207

132 W Taft Ave
#3
Sapulpa, OK 74066
Phone (918) 224-3600

2001 S Muskogee Ave
#2
Tahlequah, OK 74464
Phone (918) 456-6103

11005 E 41st St
#13
Tulsa, OK 74146
Phone (918) 610-3245

1885 S Yale Ave
#16
Tulsa, OK 74112
Phone (918) 293-2256

2429 E 15th St
#19
Tulsa, OK 74104
Phone (918) 748-8350

3328 E 51st St
#23
Tulsa, OK 74135
Phone (918) 743-5782

3915 S Peoria Ave
#25
Tulsa, OK 74105
Phone (918) 747-6756

420 S 145th East Ave
Ste B
Tulsa, OK 74108
Phone (918) 947-8180

4909 E 41st St
Tulsa, OK 74135
Phone (918) 270-7060

4909 E 41st St
#15
Tulsa, OK 74135
Phone (918) 270-7060

7114 S Sheridan Rd
#7
Tulsa, OK 74133
Phone (918) 481-0000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1083807697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WSW LOOP 323",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 N 135TH EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555739",
            "telephone_number": "918-371-6455",
            "fax_number": "918-371-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSHIRE GROCERY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "DUCOTE",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "VP PHARMACY",
        "authorized_official_telephone_number": "903-600-1376"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reasor's Pharmacy #918",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.