Brookshire Grocery Company
NPI 1962874602ActiveOrganization· Pharmacy· Tyler, TX
Pharmacy in Tyler, Texas, registered in NPPES in October 2015. The authorized official on file is Jim Cousineau, Senior Vp Pharmacy Operations.
Overview
| NPI | 1962874602 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 21, 2015 |
| Last updated in NPPES | Sep 21, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 30243 | TX |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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