Brookshire Grocery Company
Organization Active NPI Community/Retail Pharmacy · Owasso, OK
NPI 1083807697 · NPPES record last updated May 1, 2025
Key facts
- NPI
- 1083807697
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- BROOKSHIRE GROCERY COMPANY
- Practice address
- 11550 N 135TH East Ave
Owasso, OK 74055-5739 - Phone
- (918) 371-6455
- Fax
- (918) 371-6453
- NPI assigned
- Aug 27, 2007
- Organization subpart
- No
Authorized official
- Name
- Neil Ducote
- Title
- VP Pharmacy
- Phone
- (903) 600-1376
Other NPIs on the same Medicare enrollment 17
Corporate family (same tax ID) 20
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
National Provider Directory
- Tax ID family
- Brookshire Grocery Company
Locations
11116 S Memorial Dr
#22
Bixby, OK 74008
Phone (918) 970-4919
3701 S Elm Pl
Broken Arrow, OK 74011
Phone (918) 455-3902
1100 E Kenosha St
Broken Arrow, OK 74012
Phone (918) 251-1295
1100 E Kenosha St
#14
Broken Arrow, OK 74012
Phone (918) 251-1295
3701 S Elm Pl
#8
Broken Arrow, OK 74011
Phone (918) 455-8102
2500 N Highway 66
Catoosa, OK 74015
Phone (918) 266-8113
2500 N Highway 66
#17
Catoosa, OK 74015
Phone (918) 266-8113
1000 W Will Rogers Blvd
Claremore, OK 74017
Phone (918) 341-4557
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
446 S Elm St
Jenks, OK 74037
Phone (918) 299-2684
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
1885 S Yale Ave
#16
Tulsa, OK 74112
Phone (918) 293-2256
3915 S Peoria Ave
#25
Tulsa, OK 74105
Phone (918) 747-6756
11005 E 41st St
#13
Tulsa, OK 74146
Phone (918) 610-3245
7114 S Sheridan Rd
#7
Tulsa, OK 74133
Phone (918) 481-0000
2429 E 15th St
#19
Tulsa, OK 74104
Phone (918) 748-8350
3328 E 51st St
#23
Tulsa, OK 74135
Phone (918) 743-5782
4909 E 41st St
#15
Tulsa, OK 74135
Phone (918) 270-7060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes | ||
| 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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100244350H | Medicaid | OK | |
| 2077140 | Other | PK |
Other names
- Reasor's Pharmacy #918
Other providers in Owasso, OK
- Alicia Ann Breuer
- Bridge Over Troubled Waters Counseling, Coaching & Consulting LLC
- Bright Sky Solutions LLC
- Katrina Ann Britton
- Brookdale Senior Living Communities, Inc.
- Brookshire Grocery Company
- Jesse Brown
- Machela Brown
- Marquelle R Brown
- Rachel Michelle Brown
All providers in Owasso, OK · Community/Retail Pharmacy in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.