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

Brookshire Grocery Company

Organization Pharmacy · NPI 1962874602

Brookshire Grocery Company is a Pharmacy in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015
Specialties on file
2

Practice location Address checks out

172 Centennial Pkwy
Tyler, TX 75703
Phone: (903) 525-6923
Fax: (903) 581-2421
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 30243 (TX)
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1962874602
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jim Cousineau — Senior Vp Pharmacy Operations · (903) 877-6829
Other names Super 1 Foods Pharmacy #642
NPI enumeratedOctober 21, 2015
Last updated in NPPESSeptember 21, 2016
Mailing addressPo Box 1411, Attention Pharmacy Department, Tyler, TX 75710-1411

Other providers in Tyler