Brookshire Brothers Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BROOKSHIRE BROTHERS INC

Doing business as

Brookshire Brothers Pharmacy #117

Practice address

8087 Bronco Lane
Lago Vista, TX 78645

Phone

(512) 267-1630

Fax

(512) 267-1640

NPI assigned

Jan 12, 2023

Last updated

Jan 12, 2023By 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

Tonia Lynn Adkison

Title

Pharmacy Admin

Phone

(936) 634-8155

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brookshire Brothers Pharmacy #117 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Brookshire Brothers Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Brookshire Brothers Inc

  • Community/Retail Pharmacy
  • Jarrell, TX
  • NPI 1396615183
  NPD tax ID
• Brookshire Brothers Inc

  dba Brookshire Brothers Pharmacy #91

  • Community/Retail Pharmacy
  • Cuero, TX
  • NPI 1558029108
  NPD tax ID
• Brookshire Brothers Inc

  • Pharmacy
  • Lufkin, TX
  • NPI 1700793296
  NPD tax ID
• Brookshire Brothers LTD

  dba Brookshire Brothers Pharmacy

  • Community/Retail Pharmacy
  • Henderson, TX
  • NPI 1568562908
  NPD tax ID
• Brookshire Brothers, LTD.

  • Pharmacy
  • Lufkin, TX
  • NPI 1679763932
  NPD tax ID

Locations

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1649984766",
    "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": "8087 BRONCO LANE",
            "city": "LAGO VISTA",
            "state": "TX",
            "postal_code": "78645",
            "telephone_number": "512-267-1630",
            "fax_number": "512-267-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSHIRE BROTHERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-10",
        "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": "34581",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookshire Brothers Pharmacy #117",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jocelyn Guadalupe Acosta, LAC, LPCC, MFTC
• Althea Grace Counseling
• Kimberly Ann Alvarado, TX. L.AC.
• Mitali Binani, D.M.D, M.S.
• Dricka Denice Brumsey, NURSE ASSISTANT
• Zachary L Calhoon, DPT
• Irene Anne Carrillo, BS RN CPN
• Jennifer Chiappone, LVN
• Tevin McDonald Cobalt, LCSW

• Community/Retail Pharmacy in Lago Vista, TX
• Providers in Lago Vista, 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 Jan 12, 2023; 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.