Brookshire Grocery Company
Pharmacy
172 Centennial Pkwy, Tyler
Texas, 75703
903-525-6923 903-581-2421
Brookshire Grocery Company is a Pharmacy in Tyler, Texas. It is located at 172 Centennial Pkwy, Tyler and it's customer support contact number is 903-525-6923. The authorized person of Brookshire Grocery Company is Jim Cousineau who is Senior Vp Pharmacy Operations of the pharmacy and his contact number is 903-877-6829. Active license number of Brookshire Grocery Company is 30243 for Pharmacy in Texas. Brookshire Grocery Company accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Brookshire Grocery Company is a 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 dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Brookshire Grocery Company type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Brookshire Grocery Company |
| Type: | Pharmacy |
| Location: | 172 Centennial Pkwy, Tyler,
Texas, 75703 |
| Phone: | 903-525-6923 |
| Fax: | 903-581-2421 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jim Cousineau |
| Position: | Senior Vp Pharmacy Operations |
| Contact Number: | 903-877-6829 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1962874602 |
| NPI Enumeration Date: | 21 Oct, 2015 |
| NPI Last Update On: | 21 Sep, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brookshire Grocery Company are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 30243 | Texas | Primary | |
| Community/Retail Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2154729 | Other | | Pk |
| 470992 | Medicaid | Texas | |
Medicare Enrollment:
Brookshire Grocery Company is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1355415712 | O20160802002852 | Brookshire Grocery Company | DME SUPPLIER - PHARMACY |
Products Available:
Brookshire Grocery Company has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Heat & Cold Applications |
| • Nebulizer Equipment & Supplies | • Orthoses: Off-the-shelf |
| • Surgical Dressings | • Walkers |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 1411, Attention Pharmacy Department
Tyler, Texas |
| Zip: | 75710-1411 |
| Phone Number: | 903-877-6862 |
| Fax Number: | 903-877-3820 |
Patients can reach Brookshire Grocery Company at
172 Centennial Pkwy, Tyler, Texas or can
call on customer care at 903-525-6923.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.