Brookshire Bros Pharmacy of Kirbyville Texas

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

14614 Issued in TX

Legal business name

BROOKSHIRE BROS PHARMACY OF KIRBYVILLE TEXAS

Doing business as

Brookshire Brothers Pharmacy of Kirbyville

Practice address

1005 S Margaret Ave
Kirbyville, TX 75956-2422

Phone

(409) 423-2248

NPI assigned

Dec 16, 2005

Organization subpart

No

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

Authorized official

Name

Kendra Korthauer

Title

Office Manager

Phone

(979) 251-0599

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• BROOKSHIRE BROTHERS PHARMACY OF KIRBYVILLE Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Douglas Michael Gage, PHARM.D.

  • Pharmacist
  • Kirbyville, TX
  • NPI 1942512991
  NPD
• Lan Thuy Giap, PHARMD

  • Pharmacist
  • Kirbyville, TX
  • NPI 1811592280
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1346226875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1197",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778341197",
            "telephone_number": "979-251-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 S MARGARET AVE",
            "city": "KIRBYVILLE",
            "state": "TX",
            "postal_code": "759562422",
            "telephone_number": "409-423-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSHIRE BROS PHARMACY OF KIRBYVILLE TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "KORTHAUER",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "979-251-0599"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "14614",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "14614",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "14614",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TX",
            "license": "14614",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143743",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0168395-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FLU",
            "identifier": "PH0442",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROOKSHIRE BROTHERS PHARMACY OF KIRBYVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 409 Therapy Services, PLLC
• Julie Alexander
• Aspire to Be Better Clinic
• Lonnie James Bean Jr., M.D.
• Stewart Elgen Braddock, DDS
• Burke Center
• Christus Health Southeast Texas (Christus Southeast Texas Family Practice Center - Kirbyville)
• Cooper and Rosemon L.L.C
• East Texas Family Healthcare PLLC (Family Healthcare- Kirbyville)
• Susan Edge, RN,FNP-C

• Community/Retail Pharmacy in Kirbyville, TX
• Providers in Kirbyville, 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 Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.