Brookshire Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP-0000575 Issued in OR

Legal business name

BROOKSHIRE PHARMACY INC

Doing business as

Union Drug Company

Practice address

105 N Main
Union, OR 97883-0400

Phone

(541) 562-5441

Fax

(541) 562-5269

NPI assigned

Aug 20, 2006

Last updated

Mar 29, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Walt Brookshire

Title

President

Phone

(541) 562-5441

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• UNION DRUG COMPANY Doing business as

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1114032158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "UNION",
            "state": "OR",
            "postal_code": "978830400",
            "telephone_number": "541-562-5441",
            "fax_number": "541-562-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N MAIN",
            "city": "UNION",
            "state": "OR",
            "postal_code": "978830400",
            "telephone_number": "541-562-5441",
            "fax_number": "541-562-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSHIRE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "BROOKSHIRE",
        "authorized_official_first_name": "WALT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-562-5441"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP-0000575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2077558",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125216",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNION DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joel Bender, D.M.D.
• Willard G Bertrand, DC
• Tracy Lynette Case, LMT
• Melinda Sue Cator-Mead, D.C.
• City of Union (Union Volunteer Ambulance)
• Catherine M Coffey, NP
• Grande Ronde Hospital, Inc (Grande Ronde Hospital Union Clinic)

• Community/Retail Pharmacy in Union, OR
• Providers in Union, OR by specialty
• Community/Retail Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.