SUPER 1 PHARMACY #643
NPI 1750811295
Pharmacy in Scott, LA

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

The NPI number for Brookshire Grocery Company is 1750811295. It was assigned to this organization in the NPPES registry on June 18, 2017. The provider is doing business as Super 1 Pharmacy #643.

Q: What is Brookshire Grocery Company's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since June 18, 2017

200 DESTINATION POINTE LN., SCOTT, LA 70583(337) 210-2001(337) 236-6531 Get Directions Write a Review

NPPES record last updated: June 18, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Super 1 Pharmacy #643 NPPES

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

SUPER 1 PHARMACY #643 (NPI 1750811295) is a healthcare organization registered as a pharmacy in Scott, Louisiana and active in the NPI registry since June 2017. The organization lists Jim Cousineau, Sr. Vp Of Pharmacy Operations, as its authorized official.

NPPES Registry Identity

NPI1750811295

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameBROOKSHIRE GROCERY COMPANY

Location Address200 DESTINATION POINTE LN.Scott, LA 70583

Mailing Address200 Destination Pointe Ln.Scott, LA 70583 · (337) 210-2001 · Fax (337) 236-6531

Phone(337) 210-2001

Fax(337) 236-6531

Organization SubpartNo

Authorized OfficialJim CousineauSr. Vp Of Pharmacy Operations · (903) 877-6829

Enumeration DateJune 18, 2017

✔ NPI 1750811295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in LA · 007485

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

200 DESTINATION POINTE LN., Scott, LA 70583

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Other Names 1

Doing Business AsSuper 1 Pharmacy #643

Other Identifiers 1

Other2169752Pk

Accepted Insurance

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

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 1750811295. It was assigned to this organization in the NPPES registry on June 18, 2017. The provider is doing business as Super 1 Pharmacy #643.

Where is Brookshire Grocery Company located?

Brookshire Grocery Company is located at 200 Destination Pointe Ln., Scott, LA 70583. The listed phone number is (337) 210-2001.

What is Brookshire Grocery Company's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

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 June 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.