NPIMap

Organization Active NPI

Brookshire Grocery Company

Doing business as Reasor's Pharmacy #925

  • Community/Retail Pharmacy
  • Tulsa, OK
National Provider Identifier
1831138213
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BROOKSHIRE GROCERY COMPANY
Doing business as
Reasor's Pharmacy #925
Practice address
3915 S Peoria Ave
Tulsa, OK 74105-3130
Phone
(918) 747-9740
Fax
(918) 744-8106
NPI assigned
Jun 4, 2006
Last updated
May 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Neil Ducote
Title
VP Pharmacy
Phone
(903) 600-1376

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3915 S Peoria Ave
Tulsa, OK 74105-3130

Mailing address

1600 WSW Loop 323
Tyler, TX 75701-8532

Other identifiers 2

IdentifierTypeStateIssuer
2142013OtherPK
200114270TMedicaidOK

Other names 1

  • Reasor's Pharmacy #925 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240725004696 OK Part B Supplier - Mass Immunization (Roster Biller Only) 1355415712 17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sand Springs, OK; Sapulpa, OK; Tahlequah, OK; Tulsa, OK; Owasso, OK; Bixby, OK; Broken Arrow, OK; Claremore, OK…

Other NPIs on the same Medicare enrollment 17

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

View all 17

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2270583Reasor's Pharmacy #9253915 S Peoria Ave, Tulsa, OK 74105Certificate of waiverOct 17, 2026

National Provider Directory

National Provider Directory
Tax ID family
Brookshire Grocery Company21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Locations (25 of 158)

2800 Pine St
Arkadelphia, AR 71923
Phone (870) 246-2015

1310 S Constitution Ave
Ashdown, AR 71822
Phone (870) 898-5501

1310 S Constitution Ave
#62
Ashdown, AR 71822
Phone (870) 898-5501

220 S West Ave
#40
El Dorado, AR 71730
Phone (870) 863-7996

2202 N West Ave
El Dorado, AR 71730
Phone (870) 310-3679

2202 N West Ave
#48
El Dorado, AR 71730
Phone (870) 864-0107

909 N Hervey St
#1
Hope, AR 71801
Phone (870) 777-6989

1623 E Main St
#81
Magnolia, AR 71753
Phone (870) 234-7073

1605 E Harding Ave
Pine Bluff, AR 71601
Phone (870) 534-1380

1605 E Harding Ave
#105
Pine Bluff, AR 71601
Phone (870) 534-1380

2800 S Hazel St
#102
Pine Bluff, AR 71603
Phone (870) 535-4044

5805 Dollarway Rd
#104
Pine Bluff, AR 71602
Phone (870) 247-5854

5805 Dollarway Rd
White Hall, AR 71602
Phone (870) 247-5854

604 MacArthur Dr
#1
Alexandria, LA 71303
Phone (318) 442-5710

2211 E Madison Ave
#1
Bastrop, LA 71220
Phone (318) 281-3284

6280 Highway 3
#17
Benton, LA 71006
Phone (318) 965-3669

1870 Airline Dr
#1
Bossier City, LA 71112
Phone (318) 746-8401

4918 Barksdale Blvd
#107
Bossier City, LA 71112
Phone (318) 549-2107

3916 NE Evangeline Trwy
#1
Carencro, LA 70520
Phone (337) 886-3660

1800 W Laurel Ave
Eunice, LA 70535
Phone (337) 457-4827

1018 Sterlington Hwy
#38
Farmerville, LA 71241
Phone (318) 368-2218

1125 Highway 80
Haughton, LA 71037
Phone (318) 949-8476

1125 Highway 80
#57
Haughton, LA 71037
Phone (318) 949-8476

817 W Main St
#66
Homer, LA 71040
Phone (318) 927-3537

215 W Willow St
Lafayette, LA 70501
Phone (318) 572-9053

Practitioners & affiliated clinicians

Practitioners 37

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.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1831138213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WSW LOOP 323",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741053130",
            "telephone_number": "918-747-9740",
            "fax_number": "918-744-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSHIRE GROCERY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "DUCOTE",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "VP PHARMACY",
        "authorized_official_telephone_number": "903-600-1376"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2142013",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200114270T",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reasor's Pharmacy #925",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.