Brookshire Brothers Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BROOKSHIRE BROTHERS INC

Practice address

455 George Bush Drive W
College Station, TX 77840

Phone

(979) 314-5009

Fax

(979) 680-0111

NPI assigned

Nov 13, 2020

Organization subpart

No

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

Authorized official

Name

Tonia Lynn Adkison

Title

Pharmacy Admin

Phone

(936) 634-8155

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brookshire Brothers Pharmacy #12 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Ryan May, PHARMD

  • Pharmacist
  • College Station, TX
  • NPI 1023678414
  NPD

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1245832245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 ELLEN TROUT DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759041233",
            "telephone_number": "936-634-8155",
            "fax_number": "936-633-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 GEORGE BUSH DRIVE W",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77840",
            "telephone_number": "979-314-5009",
            "fax_number": "979-680-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSHIRE BROTHERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "ADKISON",
        "authorized_official_first_name": "TONIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHARMACY ADMIN",
        "authorized_official_telephone_number": "936-634-8155"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TSBP",
            "identifier": "33500",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookshire Brothers Pharmacy #12",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Reed Bridges, BS,RBT
• Brilliant Eye Care LLC
• Casey Broadhead
• Christina Lynn Brooks, PH.D.
• Rhodabeca R Brooks, PA
• Alicia Lopez Brown
• Angeletta L Brown, M.D.
• Ava Brown
• Elisa Lynn Brown, BS, MED
• Hannah K Brown

• Community/Retail Pharmacy in College Station, TX
• Providers in College Station, 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 Nov 13, 2020; 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.