Active NPI
Brookshire Brothers Inc
- Community/Retail Pharmacy
- Cuero, TX
National Provider Identifier
1558029108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- BROOKSHIRE BROTHERS INC
- Practice address
- 1161 N Esplanade St
Cuero, TX 77954-3433 - Phone
- (361) 524-4000
- Fax
- (361) 275-8285
- NPI assigned
- Dec 1, 2021
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Tonia Lynn Adkison
- Title
- Pharmacy Admin
- Phone
- (936) 634-8155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| 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
National Provider Directory- Tax ID family
- Brookshire Brothers Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Jarrell, TX
- NPI 1396615183
-
- Community/Retail Pharmacy
- Lago Vista, TX
- NPI 1649984766
-
- Community/Retail Pharmacy
- Henderson, TX
- NPI 1568562908
-
- Pharmacy
- Lufkin, TX
- NPI 1679763932
Locations
1161 N Esplanade St
Cuero, TX 77954
Phone (361) 524-4000
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1161 N Esplanade St
Cuero, TX 77954-3433
Mailing address
1201 Ellen Trout Dr
Lufkin, TX 75904-1233
Phone (936) 634-8155
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34065 | Other | TX | TSBP |
Other names 1
NPPES NPI Registry- Brookshire Brothers Pharmacy #91
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 1, 2021.
{
"created_epoch": "1638316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638316800000",
"number": "1558029108",
"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": "1161 N ESPLANADE ST",
"city": "CUERO",
"state": "TX",
"postal_code": "779543433",
"telephone_number": "361-524-4000",
"fax_number": "361-275-8285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKSHIRE BROTHERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-01",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"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": "34065",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Brookshire Brothers Pharmacy #91",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cuero, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.