OrganizationActive
Brookshire Grocery Company
NPI 1073686309 · Community/Retail Pharmacy · Tyler, TX
Brookshire Grocery Company is a Community/Retail Pharmacy organization in Tyler, TX (NPI 1073686309).
Provider details
- NPI number
- 1073686309
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jim Cousineau, Vp Pharmacy Operations(903) 877-6514
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1105 E Gentry Pkwy
Attention Pharmacy Dept
Tyler, TX 75702-4715
Phone: (903) 535-9467
Fax: (903) 535-9468
Street-level locationGet directions
Mailing address
1600 W Sw Loop 323
Tyler, TX 75701-8532
Other names (DBA / former)
- Doing business as
- Super 1 Pharmacy
Registry dates
- Enumerated
- 2006-11-16
- Last updated
- 2016-11-22
Frequently asked questions
- What is Brookshire Grocery Company's NPI number?
- Brookshire Grocery Company's National Provider Identifier (NPI) is 1073686309, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brookshire Grocery Company?
- Brookshire Grocery Company is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Brookshire Grocery Company located?
- Brookshire Grocery Company's practice location on file with NPPES is 1105 E Gentry Pkwy, Tyler, TX 75702-4715.
- What is Brookshire Grocery Company's phone number?
- The practice phone number listed in the NPPES registry for Brookshire Grocery Company is (903) 535-9467.
- Who is the authorized official for Brookshire Grocery Company?
- The authorized official listed on Brookshire Grocery Company's NPPES record is Jim Cousineau, Vp Pharmacy Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brookshire Grocery Company's NPI active?
- Yes — Brookshire Grocery Company's NPI (1073686309) is active in the NPPES registry as of the last update on 2016-11-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.