OrganizationActive
Brookshire Grocery Company
NPI 1396818860 · Community/Retail Pharmacy · Jackson, MS
Provider details
- NPI number
- 1396818860
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jim Cousineau, Vp Pharmacy Operations(903) 877-6829
- License
- 05104 / 01.2 (MS)
Specialties & taxonomies
Suppliers
Suppliers
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
5841 Ridgewood Rd
Attention Pharmacy Dept
Jackson, MS 39211-2618
Phone: (601) 978-1747
Fax: (601) 978-3150
Street-level locationGet directions
Mailing address
Po Box 1411
Tyler, TX 75710-1411
Other names (DBA / former)
- Doing business as
- Brookshires Pharmacy #121
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2008-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.