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BROOKSHIRE GROCERY COMPANY
NPI 1124191697
Pharmacy - Community/Retail Pharmacy in Lafayette, LA

Active since November 15, 2006
215 W WILLOW ST, ATTENTION PHARMACY DEPT, LAFAYETTE, LA 70501(318) 572-9053(318) 572-9054 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2025, Jul 19, 2018, Jun 1, 2017 and 1 more (4 updates tracked since 2015).

About Brookshire Grocery Company NPPES

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

BROOKSHIRE GROCERY COMPANY (NPI 1124191697), doing business as Super 1 Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Lafayette, Louisiana and active in the NPI registry since November 2006. The organization lists Jim Cousineau, Vp Pharmacy Operations, as its authorized official.

NPPES Registry Identity

NPI1124191697
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBROOKSHIRE GROCERY COMPANY
Location Address215 W WILLOW ST, ATTENTION PHARMACY DEPTLafayette, LA 70501-2841
Mailing Address215 West Willow Street, Attention Pharmacy DeptLafayette, LA 70501 · (318) 572-9053 · Fax (318) 572-9054
Phone(318) 572-9053
Fax(318) 572-9054
Organization SubpartNo
Authorized OfficialJim CousineauVp Pharmacy Operations · (903) 877-6514
Enumeration DateNovember 15, 2006
Last NPPES UpdateSeptember 19, 20254 updates tracked since enumeration
✔ NPI 1124191697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in LA · 4111
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
215 W WILLOW ST, Lafayette, LA 70501
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Other Names 1

Doing Business AsSuper 1 Pharmacy

Other Identifiers 2

Other2033926Pk
Medicaid1266485LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VU THANH NGUYEN
Pharmacist
215 W WILLOW ST
LAFAYETTE, LA 70501
Lafayette Parish (337) 572-9053
LANA ALINE GUILLORY R.PH.
Pharmacist
215 W WILLOW ST
LAFAYETTE, LA 70501
Lafayette Parish (337) 572-9053
WALGREEN CO.
Pharmacy
215 W WILLOW ST
LAFAYETTE, LA 70501
Lafayette Parish (337) 572-9053
WESLEY N HARBISON RPH
Pharmacist
215 W WILLOW ST
LAFAYETTE, LA 70501
Lafayette Parish (337) 572-9053

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 1124191697. It was assigned to this organization in the NPPES registry on November 15, 2006. The provider is doing business as Super 1 Pharmacy.

Where is Brookshire Grocery Company located?

Brookshire Grocery Company is located at 215 W Willow St Attention Pharmacy Dept, Lafayette, LA 70501. The listed phone number is (318) 572-9053.

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.

What insurance does Brookshire Grocery Company accept?

Health plans from Medica and Moda Health Plan, Inc. 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 September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.