Brookshire Brothers Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

18298 Issued in TX

Legal business name

BROOKSHIRE BROTHERS INC

Practice address

1253 W Church St
Livingston, TX 77351-3018

Phone

(936) 327-4354

Fax

(936) 327-7741

NPI assigned

Sep 22, 2006

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 TX

Enrollment records 1

Locations

Practitioners 5

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

• April R Carroll, RPH

  • Pharmacist
  • Livingston, TX
  • NPI 1235736414
  NPD (past)
• Caitlyn Iles Clifton, PHARMD, MSHA

  • Pharmacist
  • Livingston, TX
  • NPI 1487263935
  NPD (past)
• Victor Thomas Laporte, PHARM.D.

  • Pharmacist
  • Livingston, TX
  • NPI 1366695934
  NPD (past)
• Peggy Elizabeth Plunkett

  • Pharmacist
  • Livingston, TX
  • NPI 1003413170
  NPD (past)
• Mark Templet, RPH

  • Pharmacist
  • Livingston, TX
  • NPI 1821604802
  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": "1470787200000",
    "number": "1972602290",
    "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": "1253 W CHURCH ST",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773513018",
            "telephone_number": "936-327-4354",
            "fax_number": "936-327-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSHIRE BROTHERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2016-08-10",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "18298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2102390",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "464097",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROOKSHIRE BROTHERS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelby Bond
• Logan Ali Bouker, DMD
• Renella Boullion, APRN, FNP-BC
• Marlo Brawner, MD
• Julie Michelle Bremholm, FNP-BC
• Johneca Rochelle Broussard, DO
• Kaitlyn Nicol Brown, BCHHP, BCND
• Susan Michelle Brownfield, OT
• Karla Vinece Bolton Bruning, M.D
• David C Buescher, MD

• Community/Retail Pharmacy in Livingston, TX
• Providers in Livingston, 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 Aug 10, 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.