NPI age
10 years
Enumerated 2015-10-21
● Active Type 2 · Organization
Brookshire Grocery Company
Brookshire Grocery Company is 1 of 2274 pharmacy organizations in Texas.
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cousineau
Senior Vp Pharmacy Operations
Last NPPES update
2016-09-21
Source: monthly bulk 2026-05
How this organization compares
Across 2274 active pharmacy providers in Texas.
NPI age
10 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 77% of peers with subspecialties
NPI lifetime · 2015 → 2026
2015-10Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
172 Centennial Pkwy
Tyler, TX 75703
Mailing address
Po Box 1411, Attention Pharmacy Department
Tyler, TX 757101411
Authorized official
Jim Cousineau
Senior Vp Pharmacy Operations
📞 9038776829
Specialties
-
Pharmacy PrimaryA 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...
-
PharmacyA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2154729 | PK |
| 05 (TX) | 470992 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Super 1 Foods Pharmacy #642
Practice context
Single-site organization. Only one practice location on file.
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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.