Brookshire Brothers Inc
Organization Active NPI Community/Retail Pharmacy · Normangee, TX
NPI 1124392899 · NPPES record last updated Dec 3, 2015
Key facts
- NPI
- 1124392899
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 27748 (TX)
- Legal business name
- BROOKSHIRE BROTHERS INC
- Practice address
- 103 Main St
Normangee, TX 77871 - Phone
- (936) 396-1412
- Fax
- (936) 396-1312
- NPI assigned
- Feb 28, 2012
- Organization subpart
- No
Authorized official
- Name
- John Alston
- Title
- Chief Operations Officer
- Phone
- (936) 634-8155
Practitioners 2
-
Michael Terry, PHARM.D., RPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080320000508 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 0143221085 | This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 27748 | TX | Yes |
Addresses
Primary practice location
103 Main St
Normangee, TX 77871
Mailing address
PO Box 100
Normangee, TX 77871-0100
Phone (936) 396-1412
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2133932 | Other | PK |
Other names
- Brookshire Brothers Pharmacy #75
Other providers in Normangee, TX
- Neile Elaine Briden
- Edward Marshall Clouser
- Harold Ray Fisher
- Kerry Wayne Johnson
- Lia K. Risk DDS, PLLC
- Anissa Dee Ludwig
All providers in Normangee, TX · Community/Retail Pharmacy in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2015. 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.