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REASOR'S PHARMACY #905
NPI 1063252260
Pharmacy - Community/Retail Pharmacy in Broken Arrow, OK

Active since May 28, 2024CLIA 37D2310519 · Waiver
1914 W. NORFOLK DRIVE, BROKEN ARROW, OK 74011(539) 250-4625(539) 250-4693 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Reasor's Pharmacy #905 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REASOR'S PHARMACY #905 (NPI 1063252260) is a healthcare organization registered as a community/retail pharmacy in Broken Arrow, Oklahoma and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through September 4, 2026 and lists Ronald Michael Arnett, Evp-cfo, as its authorized official.

NPPES Registry Identity

NPI1063252260
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBROOKSHIRE GROCERY COMPANY
Location Address1914 W. NORFOLK DRIVEBroken Arrow, OK 74011
Mailing Address1600 Ssw Loop 323Tyler, TX 75701 · (903) 534-3000
Phone(539) 250-4625
Fax(539) 250-4693
Organization SubpartNo
Authorized OfficialRonald Michael ArnettEvp-cfo · (903) 534-3000
Enumeration DateMay 28, 2024
Last NPPES UpdateJuly 31, 2024
NPPES CertifiedJuly 31, 2024
✔ NPI 1063252260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
1914 W. NORFOLK DRIVE, Broken Arrow, OK 74011
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Other Names 1

Doing Business AsReasor's Pharmacy #905

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2310519

Reasor's Pharmacy #905 · Broken Arrow, OK
Active · expires Sep 4, 2026
CLIA Number37D2310519
Laboratory TypePharmacy
Certificate Effective DateSeptember 5, 2024
Certificate Expiration DateSeptember 4, 2026
Laboratory DirectorVictoria Ross
Laboratory Phone(539) 250-4625
Laboratory LocationReasor's Pharmacy #9051914 W Norfolk Dr, Broken Arrow, OK 74011
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brookshire Grocery Company's NPI number?

The NPI number for Brookshire Grocery Company is 1063252260. It was assigned to this organization in the NPPES registry on May 28, 2024. The provider is doing business as Reasor's Pharmacy #905.

Where is Brookshire Grocery Company located?

Brookshire Grocery Company is located at 1914 W. Norfolk Drive, Broken Arrow, OK 74011. The listed phone number is (539) 250-4625.

What is Brookshire Grocery Company's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Brookshire Grocery Company hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2310519) is associated with this NPI, valid through September 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Brookshire Grocery Company accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Brookshire Grocery Company as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brookshire Grocery Company was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.