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BROOKSHIRE GROCERY COMPANY NPI 1053671842


NPI Information

NPI: 1053671842
Provider Name: BROOKSHIRE GROCERY COMPANY

Doing Business As: REASOR'S PHARMACY #21

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 37D2270580

Address:
3825 S HIGHWAY 97
SAND SPRINGS, OK
ZIP 74063
Phone: (918) 246-7202
Get Directions

BROOKSHIRE GROCERY COMPANY is a community/retail pharmacy pharmacy in Sand Springs, OK. 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 1053671842. The provider is registered as an organization entity type.
The provider Is Doing Business As Reasor's Pharmacy #21.

The provider's business location address is:

3825 S HIGHWAY 97
SAND SPRINGS, OK
ZIP 74063-832
Phone: (918) 246-7202
Fax: (918) 419-2434

The provider's authorized official is Neil Ducote .
The authorized official title is Vp Pharmacy and has the following contact phone number (903) 600-1376.

The CLIA number assigned to this NPI record is 37D2270580 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2012 and was last updated on 7/13/2022.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0004XPharmacyCompounding PharmacyNo
43336C0003XPharmacyCommunity/Retail PharmacyYes

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
12135328OTHERPK
2100244350MMEDICAIDOKLAHOMA

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: 4/28/2024

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