BROOKSHIRE GROCERY COMPANY NPI 1235202706

NPI Information

  • NPI: 1235202706
  • Provider Name: BROOKSHIRE GROCERY COMPANY
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • :
  • Address: 2800 S HAZEL ST
    ATTENTION PHARMACY DEPT
    PINE BLUFF, AR
    ZIP 71603
  • Phone: (870) 535-4044

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NPI Details

BROOKSHIRE GROCERY COMPANY is a community/retail pharmacy pharmacy in Pine Bluff, 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 1235202706. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

2800 S HAZEL ST
ATTENTION PHARMACY DEPT
PINE BLUFF, AR
ZIP 71603-007
Phone: (870) 535-4044
Fax: (870) 535-8116

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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)

The enumeration date for this NPI number is 11/15/2006 and was last updated on 9/19/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy0420004ARKANSASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1130898407MEDICAIDARKANSAS
21988193OTHERPK

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: 11/21/2025

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