Brookshire Brothers Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26675 Issued in TX

Legal business name

BROOKSHIRE BROTHERS INC

Practice address

2325 N Main St
Liberty, TX 77575-3901

Phone

(936) 336-4177

Fax

(936) 336-5117

NPI assigned

Nov 25, 2009

Organization subpart

No

Name

John Alston

Title

Chief Operations Officer

Phone

(936) 634-8155

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

• Gradee L Davis, PHARM.D.

  • Pharmacist
  • Liberty, TX
  • NPI 1114369949
  NPD (past)
• Sidna B Gee, RPH

  • Pharmacist
  • Dayton, TX
  • NPI 1356559355
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

• Brookshire Brothers Pharmacy #51 Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 27, 2015.

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1801124151",
    "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": "2325 N MAIN ST",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775753901",
            "telephone_number": "936-336-4177",
            "fax_number": "936-336-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSHIRE BROTHERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2015-10-27",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2122789",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookshire Brothers Pharmacy #51",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chad D Barrett, EDD, ATC, LAT
• Bassam a. Hamid M.D.,P.a. Urgent Care/Primarycare
• Holly Benson, NP-C
• Stephen L Beyer
• Steven Wayne Branham, RN, ACNP
• Lenita D Broussard, PTA
• Arthur Reese Brown, M.D.
• Bryan Rehabiltation Services, Inc.
• Joe E Callaway
• Don Shannon Callens, MD

• All providers in Liberty, TX
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.