Brookshire Brothers Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2968 Issued in LA

Legal business name

BROOKSHIRE BROTHERS INC

Doing business as

Brookshire Brothers Pharmacy

Practice address

1612 Ruth St
Sulphur, LA 70663-4906

Phone

(337) 527-0033

Fax

(337) 527-0074

NPI assigned

Sep 22, 2006

Last updated

Dec 21, 2016By 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

John Alston

Title

Chief Operations Officer

Phone

(936) 634-8155

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BROOKSHIRE BROTHERS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Brookshire Brothers Inc

  dba Brookshire Brothers Pharmacy

  • Community/Retail Pharmacy
  • Deridder, LA
  • NPI 1689773905

  O20160830002826

  Same enrollment
• Brookshire Brothers Inc

  dba Brookshire Brothers Pharmacy

  • Community/Retail Pharmacy
  • Dequincy, LA
  • NPI 1942309265

  O20160830002826

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Long, RPH

  • Pharmacist
  • Sulphur, LA
  • NPI 1184195000
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1497854715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 RUTH ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706634906",
            "telephone_number": "337-527-0033",
            "fax_number": "337-527-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 RUTH ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706634906",
            "telephone_number": "337-527-0033",
            "fax_number": "337-527-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSHIRE BROTHERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "ALSTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "936-634-8155"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "2968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2033221",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1261866",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROOKSHIRE BROTHERS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jared Brabham
• Braud Family Practice, LLC
• Rebecca Braud, M.D.
• Ruth Elaine Brewer, NP
• Brian Lind Gamborg MD Apmc
• John Edward Broussard, R.PH.
• Leah Broussard
• Linda Marie Brown, LCSW
• Madison Brown
• Melissa Lynn Brown, APRN

• Community/Retail Pharmacy in Sulphur, LA
• Providers in Sulphur, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.