NPI age
19 years
Enumerated 2006-11-15
● Active Type 2 · Organization
Brookshire Grocery Company
Brookshire Grocery Company is 1 of 5625 pharmacy organizations in Texas.
Primary specialty
Pharmacy
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cousineau
Vp Pharmacy Operations
Last NPPES update
2023-03-07
Source: monthly bulk 2026-05
How this organization compares
Across 5625 active pharmacy providers in Texas.
NPI age
19 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 62% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
113 N Northwest Loop 323, Attention Pharmacy Dept
Tyler, TX 757028725
Mailing address
Po Box 1411
Tyler, TX 757101411
Authorized official
Jim D Cousineau, RPH
Vp Pharmacy Operations
📞 9038776829
Individual providers at this organization
1 individual provider on file at this primary practice address.
- James Deason, RPH Pharmacist NPI 1104905017
Specialties
-
Pharmacy PrimaryA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
-
Durable Medical Equipment & Medical SuppliesA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
-
PharmacyA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1922171495 | NPI |
| 01 (TX) | PH0342 | MEDICARE IMMUNIZATION BILLING-TRAILBLAZER |
| 01 (TX) | 21365 | TX STATE BOARD OF PHARMACY LICENSE |
| 01 | 4521147 | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 05 (TX) | 465110 | |
| 01 (TX) | J0122303 | TX DPS |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
BROOKSHIRES PHARMACY #41
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.