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Brookshire Grocery Company

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

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

National Provider Identifier

1922171495

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Brookshire Grocery Company
Other name <Unavail>
Practice address 113 N Northwest Loop 323, Attention Pharmacy Dept, Tyler, TX, 75702
Fax (903) 593-3490
Enumeration date Nov 15, 2006
Last updated in NPPES Mar 7, 2023

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers · License 21365 (TX) Secondary
3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Jim Cousineau
Title Vp Pharmacy Operations

Other identifiers

Identifier Type State Issuer
1922171495 Other - NPI
PH0342 Other TX MEDICARE IMMUNIZATION BILLING-TRAILBLAZER
21365 Other TX TX STATE BOARD OF PHARMACY LICENSE
4521147 Other - OTHER ID NUMBER-COMMERCIAL NUMBER
465110 Medicaid TX -
J0122303 Other TX TX DPS

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

Who is the authorized official for Brookshire Grocery Company?
NPPES lists Jim Cousineau (Vp Pharmacy Operations) as the authorized official for this organization.
What is the NPI number for Brookshire Grocery Company?
The NPI for Brookshire Grocery Company is 1922171495, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.