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BROOKSHIRE GROCERY COMPANY NPI 1588737811


NPI Information

NPI: 1588737811
Provider Name: BROOKSHIRE GROCERY COMPANY

Doing Business As: BROOKSHIRES PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 04D2183214

Address:
220 S WEST AVE
ATTENTION PHARMACY DEPT
EL DORADO, AR
ZIP 71730
Phone: (870) 863-7996
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BROOKSHIRE GROCERY COMPANY is a community/retail pharmacy pharmacy in El Dorado, AR. The provider is a 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 dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. BROOKSHIRE GROCERY COMPANY NPI is 1588737811. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookshires Pharmacy.

The provider's business location address is:

220 S WEST AVE
ATTENTION PHARMACY DEPT
EL DORADO, AR
ZIP 71730-934
Phone: (870) 863-7996
Fax: (870) 863-4045

The provider's authorized official is Jim Cousineau .
The authorized official title is Vp Pharmacy Operations and has the following contact phone number (903) 877-6514.

The CLIA number assigned to this NPI record is 04D2183214 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 11/25/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyAR20018ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11012120060MEDICARE NSC
2131074407MEDICAIDARKANSAS
31988195OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.