KROGER TEXAS LP (NPI# 1043660319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043660319 |
| Entity Type | Organization |
| Organization Name | KROGER TEXAS LP |
| Other Organization Name | KROGER PHARMACY #574 |
| Practice Address |
1950 N Goliad St Rockwall TX 75087-7206 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 4696516027 |
| Practice Fax Number | 4696516030 |
| Mailing Telephone | 5137621019 |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING) |
| Authorized Official Telephone | 5137621263 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
30989 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 471002 | 05 | |
| PK | 2160671 | 01 |
| Other Name | Type Code |
|---|---|
| Kroger Pharmacy #574 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649753476 | Kroger Texas Lp | Durable Medical Equipment & Medical Supplies | 1801 N Lake Forest Dr, Mckinney, TX 75071-7602 | 2018-09-07 |
| 1396244000 | Kroger Texas Lp | Pharmacy | 5101 W Sublett Rd, Arlington, TX 76017-1178 | 2018-02-08 |
| 1558897157 | Kroger Texas Lp | Durable Medical Equipment & Medical Supplies | 3731 Riley Fuzzel Rd, Spring, TX 77386-4619 | 2017-05-03 |
| 1528508439 | Kroger Texas Lp | Pharmacy | 9806 Gaston Rd, Katy, TX 77494-7648 | 2017-02-27 |
| 1770023798 | Kroger Texas Lp | Durable Medical Equipment & Medical Supplies | 4650 W University Dr, Prosper, TX 75078-9091 | 2017-02-24 |
| 1275081960 | Kroger Texas Lp | Durable Medical Equipment & Medical Supplies | 4750 W Bailey Boswell Rd, Fort Worth, TX 76179-4321 | 2016-09-12 |
| 1164977278 | Kroger Texas Lp | Durable Medical Equipment & Medical Supplies | 1653 Basswood Blvd, Saginaw, TX 76131-4968 | 2016-08-18 |
| 1922457142 | Kroger Texas Lp | Durable Medical Equipment & Medical Supplies | 2700 W Grand Pkwy N, Katy, TX 77449-1912 | 2016-06-08 |
| 1760844401 | Kroger Texas Lp | Durable Medical Equipment & Medical Supplies | 14221 E Sam Houston Pkwy N, Houston, TX 77044-6291 | 2016-03-22 |
| 1477910123 | Kroger Texas Lp | Durable Medical Equipment & Medical Supplies | 5241 N Tarrant Pkwy, Fort Worth, TX 76244-6292 | 2016-01-26 |
| Street Address |
1950 N GOLIAD ST |
| City | ROCKWALL |
| State | TX |
| Zip Code | 75087-7206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609400241 | Stacie Sacky Dacus | Pharmacist | 1950 N Goliad St, Rockwall, TX 75087-7206 | 2020-02-22 |
| 1326678566 | Nicholas Peek | Pharmacist | 1950 N Goliad St, Rockwall, TX 75087-7206 | 2020-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452309 | Schweers Dental Pllc | Clinic/Center | 3005 N Goliad St., Suite 110, Rockwall, TX 75087 | 2020-03-19 |
| 1467091611 | Elsa Varughese | Nurse Practitioner | 414 Garrett Dr, Rockwall, TX 75087 | 2020-01-04 |
| 1578105391 | Jaya Raji Mathai | Psychiatry & Neurology | 2249 Ridge Rd., Rockwall, TX 75087 | 2019-10-14 |
| 1104326784 | Eunice B Ontita | Nurse Practitioner | 601 White Hills Dr., Suite 100, Rockwall, TX 75087 | 2018-02-20 |
| 1053811885 | Emelda Fehnyui Ndinjiakat | Licensed Vocational Nurse | 610 Louder Way, Fate, TEXAS 75087 | 2018-02-19 |
| 1588163885 | January Lauren Green | Nurse Practitioner | 6800 Heritage Parkway, Suite 201, Rockwall, TX 75087 | 2018-02-02 |
| 1093268328 | Anouk Family Chiropractic, Pllc | Chiropractor | 2555 Ridge Rd #150, Rockwall, TX 75087 | 2016-08-03 |
| 1962858134 | Katherine L. Crane | Counselor | 302 W. Kaufman St., Rockwall, TX 75087 | 2016-05-06 |
| 1669841102 | Richard Carroll Smith | Obstetrics & Gynecology | 2120 Clubview, Rockwall, TX 75087 | 2015-09-15 |
| 1033598032 | Michelle Knight | Massage Therapist | 767 Justin Rd, Rockwall, TX 75087 | 2015-05-22 |
| Find all providers in zip 75087 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912494170 | Bsph LLC | Pharmacy | 2602 Ridge Rd Ste 3, Rockwall, TX 75087-5500 | 2018-04-13 |
| 1346551801 | Bz Pharmacy, Inc | Pharmacy | 106 S. Goliad St, Rockwall, TX 75087 | 2010-06-29 |
| 1881798676 | Cvs Pharmacy Inc | Pharmacy | 1220 Horizon Rd, Rockwall, TX 75032-5401 | 2006-09-12 |
| 1205841293 | Walgreen Co | Pharmacy | 2911 Ridge Rd, Rockwall, TX 75032-5804 | 2006-07-29 |
| 1649410200 | Costco Wholesale Corporation | Pharmacy | 1225 State Highway 276, Rockwall, TX 75032-9376 | 2009-02-23 |
| 1467596817 | Super Rockwall Drugstore,lp | Pharmacy | 3021 Ridge Rd, Suite 103, Rockwall, TX 75032-5806 | 2007-02-19 |
| 1508921933 | Cvs Pharmacy Inc | Pharmacy | 2004 N Goliad St, Rockwall, TX 75087-7317 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790575 | Nextlevel Pharmaceuticals LLC | Pharmacy | 1110 Texas Pkwy, Stafford, TX 77477-6419 | 2020-11-06 |
| 1629679410 | Duehan Tran Ngo | Pharmacy | 403 W Sam Houston Pkwy N, Houston, TX 77024-4736 | 2020-11-06 |
| 1679174882 | Comanche County Medical Center Company | Pharmacy | 1870 State Hwy 36, Rising Star, TX 76471 | 2020-11-04 |
| 1629679717 | Edith Achebodt | Pharmacy | 2233 Avenue J Ste 103b, Arlington, TX 76006-5884 | 2020-11-04 |
| 1356942767 | Rxassist Pharmacy, Inc. | Pharmacy | 17020 Beaver Springs Dr Ste 8, Houston, TX 77090-2398 | 2020-11-03 |
| 1154921864 | Mbepe Health LLC | Pharmacy | 301 S 9th St Ste 121, Richmond, TX 77469-3448 | 2020-10-30 |
| 1639779366 | Mens African Investors | Pharmacy | 6355 S Peek Rd Ste 300, Katy, TX 77450-7195 | 2020-10-30 |
| 1861091977 | A Medizona Pharmacy | Pharmacy | 3700 Barker Cypress Rd, Suite 700, Houston, TX 77084 | 2020-10-20 |
| 1952900078 | Nudo Pharmacy LLC | Pharmacy | 104 Industrial Blvd Ste 201, Sugar Land, TX 77478-3174 | 2020-10-20 |
| 1194324277 | Rite Scripts Pharmacy Inc | Pharmacy | 13835 Westhollow Park Dr Apt 2805, Houston, TX 77082-1885 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.