Organization Active NPI

Brookshire Pharmacy Inc

  • Community/Retail Pharmacy
  • Asheville, NC
National Provider Identifier
1093818106
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BROOKSHIRE PHARMACY INC
Practice address
462 Haywood Rd
Asheville, NC 28806-4263
Phone
(828) 252-2718
Fax
(828) 252-2758
NPI assigned
Sep 6, 2006
Last updated
Nov 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Mr. Larry Richard Brookshire, RPHNPI 1194314203
Title
Pharmacist Manager/ Owner
Phone
(828) 252-2718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

462 Haywood Rd
Asheville, NC 28806-4263

Mailing address

462 Haywood Rd
Asheville, NC 28806-4263
Phone (828) 252-2728

Other identifiers 1

IdentifierTypeStateIssuer
0115030MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201123003270 NC Part B Supplier - Pharmacy 2365879277 Practice locations: Asheville, NC

National Provider Directory

National Provider Directory

Locations

462 Haywood Rd
Asheville, NC 28806
Phone (828) 252-2718

Practitioners & affiliated clinicians

Practitioners 3

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": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1093818106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 HAYWOOD RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288064263",
            "telephone_number": "828-252-2728",
            "fax_number": "828-252-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 HAYWOOD RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288064263",
            "telephone_number": "828-252-2718",
            "fax_number": "828-252-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSHIRE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "BROOKSHIRE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PHARMACIST MANAGER/ OWNER",
        "authorized_official_telephone_number": "828-252-2718",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115030",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.