| NPI | 1194076216 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2012-09-28 |
| Last Updated | 2025-05-01 |
| Authorized Official | Neil Ducote VP Pharmacy Phone: 9036001376 |
| Mailing Address | 1600 Wsw Loop 323 Tyler, TX 75701-8532 United States 📍 View Map |
| Primary Practice Address | 11116 S Memorial Dr Bixby, OK 74008-2038 United States Phone: (918) 970-4919 | Fax: (918) 970-2790 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | OK | 100244350N | - |
| Other (non-Medicare) | - | 2137130 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | - | - |
| No | 3336C0004X – Pharmacy, Compounding Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | - | - |
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About NPI 1194076216
Brookshire Grocery Company is an organization registered in the CMS NPPES NPI Registry with NPI number 1194076216. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Bixby, OK. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-09-28. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1194076216?
NPI 1194076216 belongs to Brookshire Grocery Company, a Pharmacy, Community/Retail Pharmacy in Bixby, OK. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1194076216 active?
The current status of NPI 1194076216 in the NPPES registry is Active. The record was last updated on 2025-05-01.
What specialty is NPI 1194076216?
NPI 1194076216 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1194076216?
You can verify NPI 1194076216 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1194076216?
The primary practice address on file for NPI 1194076216 is 11116 S Memorial Dr, Bixby, OK 74008-2038. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1194076216 issued?
NPI 1194076216 was first issued (enumerated) on 2012-09-28. The NPPES record was last updated on 2025-05-01.
Practice Location Map
Brookshire Grocery Company is located at 11116 S Memorial Dr, Bixby, OK. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Brookshire Grocery Company. All records sourced from the CMS NPPES registry.