Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Brookshire Grocery Company

Community/Retail Pharmacy in Willow Park, TX · enumerated 2006 · authorized official Jim Cousineau, Vp Pharmacy Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083787311

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Brookshire Grocery Company

Other name <Unavail>

Practice address 5118 E I 20 Service Rd S, Attention Pharmacy Dept, Willow Park, TX, 76008

Phone (817) 441-5982

Fax (817) 441-5011

Enumeration date Nov 16, 2006

Last updated in NPPES Jun 3, 2016

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License 22020 (TX) Primary

Authorized official

Name Jim Cousineau

Title Vp Pharmacy Operations

Phone (903) 877-6514

Other identifiers

Identifier	Type	State	Issuer
465241	Medicaid	TX	-
2097773	Other	-	PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-06-03. Verify at npiregistry.cms.hhs.gov.

Where is Brookshire Grocery Company located?

The practice location on file with NPPES is in Willow Park, TX.

Providers at this address

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Royce Petty Pharmacist · Willow Park, TX NPI 1235776303

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-06-03.