OrganizationActive
Brookshire Grocery Company
NPI 1003182122 · Community/Retail Pharmacy · Carencro, LA
Provider details
- NPI number
- 1003182122
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jim Cousineau, Sr. Vp Pharmacy Ops(903) 877-6829
- License
- PHY.006495-RC (LA)
Specialties & taxonomies
Suppliers
Practice location
3916 Ne Evangeline Trwy
Carencro, LA 70520-5972
Phone: (337) 886-3660
Fax: (337) 886-3661
Approximate (ZIP-level) locationGet directions
Mailing address
3916 Ne Evangeline Thruway
Carencro, LA 70520
Other names (DBA / former)
- Doing business as
- Super One
Registry dates
- Enumerated
- 2012-03-23
- Last updated
- 2025-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.