Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brookshire Grocery Company

Organization Durable Medical Equipment & Medical Supplies · NPI 1396818860

Brookshire Grocery Company is a Durable Medical Equipment & Medical Supplies in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
Specialties on file
3

Practice location Address checks out

5841 Ridgewood Rd Attention Pharmacy Dept
Jackson, MS 39211-2618
Phone: (601) 978-1747
Fax: (601) 978-3150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X · Licence 05104 / 01.2 (MS)

Record details

NPI number1396818860
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jim Cousineau — Vp Pharmacy Operations · (903) 877-6829
Other names Brookshires Pharmacy #121
NPI enumeratedNovember 15, 2006
Last updated in NPPESFebruary 27, 2008
Mailing addressPo Box 1411, Attention Pharmacy Dept, Tyler, TX 75710-1411

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