SUPER 1 PHARMACY #645
NPI 1295248672
Pharmacy - Community/Retail Pharmacy in Youngsville, LA

Q: What is Brookshire Grocery Company's NPI number?

The NPI number for Brookshire Grocery Company is 1295248672. It was assigned to this organization in the NPPES registry on November 8, 2017. The provider is doing business as Super 1 Pharmacy #645.

Q: 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.

Active since November 08, 2017

1500 BONIN RD, YOUNGSVILLE, LA 70592(337) 573-6177(337) 837-5072 Get Directions Write a Review

NPPES record last updated: November 8, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Super 1 Pharmacy #645 NPPES

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

SUPER 1 PHARMACY #645 (NPI 1295248672) is a healthcare organization registered as a community/retail pharmacy in Youngsville, Louisiana and active in the NPI registry since November 2017. The organization lists Trent D Brookshire, Exec Vp-corporate Development, as its authorized official.

NPPES Registry Identity

NPI1295248672

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameBROOKSHIRE GROCERY COMPANY

Location Address1500 BONIN RDYoungsville, LA 70592-5102

Mailing Address1500 Bonin RdYoungsville, LA 70592-5102 · (337) 573-6177 · Fax (337) 837-5072

Phone(337) 573-6177

Fax(337) 837-5072

Organization SubpartNo

Authorized OfficialTrent D BrookshireExec Vp-corporate Development · (903) 534-3000

Enumeration DateNovember 8, 2017

✔ NPI 1295248672 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 · 007545

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 · License 007545 (LA)

1500 BONIN RD, Youngsville, LA 70592

Open in Google Maps ↗

Other Names 1

Doing Business AsSuper 1 Pharmacy #645

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

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

MIKEY PHILAYVANH

Pharmacist

1500 BONIN RD
YOUNGSVILLE, LA 70592

Lafayette Parish (337) 573-6177

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 1295248672. It was assigned to this organization in the NPPES registry on November 8, 2017. The provider is doing business as Super 1 Pharmacy #645.

Where is Brookshire Grocery Company located?

Brookshire Grocery Company is located at 1500 Bonin Rd, Youngsville, LA 70592. The listed phone number is (337) 573-6177.

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 November 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.