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BROOKSHIRES PHARMACY
NPI 1316010887
Pharmacy - Community/Retail Pharmacy in Shreveport, LA

Active since November 15, 2006
5828 LINE AVE, ATTENTION PHARMACY DEPT, SHREVEPORT, LA 71106(318) 869-0669(318) 869-0671 Get Directions Write a Review

NPPES record last updated: December 22, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brookshires Pharmacy NPPES

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

BROOKSHIRES PHARMACY (NPI 1316010887) is a healthcare organization registered as a community/retail pharmacy in Shreveport, 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

NPI1316010887
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBROOKSHIRE GROCERY COMPANY
Location Address5828 LINE AVE, ATTENTION PHARMACY DEPTShreveport, LA 71106-1532
Mailing Address1600 W Sw Loop 323, Po Box 1411Tyler, TX 75701-8532 · (903) 877-6827 · Fax (903) 877-3820
Phone(318) 869-0669
Fax(318) 869-0671
Organization SubpartNo
Authorized OfficialJim CousineauVp Pharmacy Operations · (903) 877-6514
Enumeration DateNovember 15, 2006
Last NPPES UpdateDecember 22, 2015
✔ NPI 1316010887 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 · 3296
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
5828 LINE AVE, Shreveport, LA 71106
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Other Names 1

Doing Business AsBrookshires Pharmacy

Other Identifiers 3

Other2033521Pk
Medicaid1263192LA
Medicare NSC1012120045

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..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 19D2183264

Walgreens #21471 · Shreveport, LA
Expired · May 3, 2026
CLIA Number19D2183264
Laboratory TypePharmacy
Certificate Effective DateMay 4, 2024
Certificate Expiration DateMay 3, 2026
Laboratory DirectorClay Jones
Laboratory Phone(318) 869-0669
Laboratory LocationWalgreens #214715828 Line Avenue Suite B, Shreveport, LA 71106
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
133 services133 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
106 services106 patients
Adm sarscov2 50mcg/0.25mlbst 0064A
This procedure involves administering a dose of a SARS-CoV-2 vaccine. The specific dosage is 50 micrograms in a 0.25 milliliter booster shot. This vaccine helps your body build immunity against the COVID-19 virus. It's a key part of global efforts to control the pandemic.
85 services83 patients
Fee covid-19 vac 14 res 0134A
The "Fee covid-19 vac 14 res" refers to a charge for a specific service related to the COVID-19 vaccine. This could be for administering the vaccine or related care. It's crucial to get vaccinated to protect against the virus. The fee ensures quality service.
53 services53 patients
Adm sarscv2 30mcg trs-sucr b 0054A
This service involves the administration of a 30mcg dose of the SARS-CoV-2 vaccine, which helps protect against COVID-19. The 'trs-sucr b' indicates it's stabilized with sugars for effectiveness. It's a crucial step in maintaining your health during the pandemic.
38 services38 patients
Fee covid-19 vac 13 res 0124A
The "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.
31 services31 patients

Other Providers at the Same Location NPPES 2

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

MS. TANYA TROTTER R.P.H.
Pharmacist
5828 LINE AVE
SHREVEPORT, LA 71106
Caddo Parish (318) 869-0669
WALGREEN CO.
Pharmacy
5828 LINE AVE
SHREVEPORT, LA 71106
Caddo Parish (318) 869-0669

Frequently Asked Questions

What is BROOKSHIRE GROCERY COMPANY's NPI number?

The NPI number assigned to this healthcare provider is 1316010887, enumerated as an "organization" on November 15, 2006.

Where is the provider located?

The provider is located at 5828 LINE AVE ATTENTION PHARMACY DEPT SHREVEPORT, LA 71106 and the phone number is (318) 869-0669.

What is the provider's specialty?

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

What insurance does BROOKSHIRE GROCERY COMPANY accept?

The provider might be accepting Accepts: Medica, Moda Health Plan, Inc., Medicare and. Please consult your insurance carrier or call the provider to verify.