Brookshire Brothers Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29990 Issued in TX

Legal business name

BROOKSHIRE BROTHERS INC

Practice address

1004 E Main St
Hamilton, TX 76531-1572

Phone

(254) 386-3682

Fax

(254) 386-3687

NPI assigned

Jun 15, 2015

Organization subpart

No

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

Authorized official

Name

Lynn Russell

Title

Pharmacy Operations and Person

Phone

(936) 634-8155

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Brookshire Brothers Pharmacy #84 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael P Garner, PHARMD

  • Pharmacist
  • Texarkana, TX
  • NPI 1932703287
  NPD (past)
• Suzanne Haenn, PHARMD

  • Pharmacist
  • Hamilton, TX
  • NPI 1265910616
  NPD (past)

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1205217320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 E MAIN ST",
            "city": "HAMILTON",
            "state": "TX",
            "postal_code": "765311572",
            "telephone_number": "254-386-3682",
            "fax_number": "254-386-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 E MAIN ST",
            "city": "HAMILTON",
            "state": "TX",
            "postal_code": "765311572",
            "telephone_number": "254-386-3682",
            "fax_number": "254-386-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSHIRE BROTHERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PHARMACY OPERATIONS AND PERSON",
        "authorized_official_telephone_number": "936-634-8155"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29990",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152454",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookshire Brothers Pharmacy #84",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bradley Bartels, M.D.,
• Elizabeth Janelle Bays, MS, LPC-S
• Shelly D Boyle, PA-C
• Arlene E Brown, FNP
• Casi Lyn Carlson, D.M.D.
• Claire Beth Cate, LPC
• Central Texas Healthcare Services
• David Hamilton Cleveland, RPH

• Community/Retail Pharmacy in Hamilton, TX
• Providers in Hamilton, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.