KROGER TEXAS LP (NPI# 1275081960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275081960 |
| Entity Type | Organization |
| Organization Name | KROGER TEXAS LP |
| Other Organization Name | KROGER PHARMACY #576 |
| Practice Address |
4750 W Bailey Boswell Rd Fort Worth TX 76179-4321 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 6823167508 |
| Practice Fax Number | 6823167511 |
| Mailing Telephone | 5137621019 |
| Enumeration Date | 2016-09-12 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 471175 | 05 | |
| PK | 2164643 | 01 |
| Other Name | Type Code |
|---|---|
| Kroger Pharmacy #576 | 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 |
| 1164977278 | Kroger Texas Lp | Durable Medical Equipment & Medical Supplies | 1653 Basswood Blvd, Saginaw, TX 76131-4968 | 2016-08-18 |
| 1043660319 | Kroger Texas Lp | Pharmacy | 1950 N Goliad St, Rockwall, TX 75087-7206 | 2016-06-17 |
| 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 |
4750 W BAILEY BOSWELL RD |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76179-4321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821628769 | Tausha Reeves | Pharmacist | 4750 W Bailey Boswell Rd, Fort Worth, TX 76179-4321 | 2020-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992347215 | Katherine M Wright | Behavior Technician | 5804 Boat Club Road, Fort Worth, TX 76179 | 2019-10-09 |
| 1982245775 | Makaylin Rene Mayes | Behavior Technician | 5804 Boat Club Rd, Fort Worth, TX 76179 | 2019-10-02 |
| 1881246049 | Renkuntla Pllc | Dentist | 240 S Saginaw Blvd, Saginaw, TX 76179 | 2019-07-09 |
| 1376062026 | Michele Ann Taylor | Massage Therapist | 6352 Stone Lake Drive, Fort Worth, TX 76179 | 2017-09-13 |
| 1649796921 | Amanda Williams | Music Therapist | 6212 Rocky Point Trail, Lake Worth, TX 76179 | 2017-08-17 |
| 1912437922 | Dentists of Eagle Mountain, PC | Dentist | 4624 West Bailey Boswell Road, Suite 200, Fort Worth, TX 76179 | 2017-06-13 |
| 1982059283 | 11th Hour Counseling | Social Worker | 949 Sherry Ln, Saginaw, TX 76179 | 2016-04-25 |
| 1114307212 | Stephanie Lee Beavers | Chiropractor | 524 Buckstone Dr., Saginaw, TX 76179 | 2015-06-03 |
| 1760885297 | Kali Nagabalaji | Pharmacy | 200 W J Boaz Rd, Ste 100, Saginaw, TX 76179 | 2014-09-29 |
| 1750794541 | Julie Norwood | Dentist | 1453 N. Saginaw Blvd., Suite 150, Saginaw, TX 76179 | 2014-06-09 |
| Find all providers in zip 76179 | ||||
| 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 |
|---|---|---|---|---|
| 1871124214 | Better Health Pharmacy, LLC | Pharmacy | 8615 S Hulen St Ste 115, Fort Worth, TX 76123-2762 | 2020-02-03 |
| 1669027660 | Eklingji Healthcare LLC | Pharmacy | 6249 Granbury Rd, Fort Worth, TX 76133-3401 | 2019-08-06 |
| 1790343465 | Be Well Pharmacy LLC | Pharmacy | 8008 Camp Bowie West Blvd Ste 109, Fort Worth, TX 76116-6300 | 2019-05-29 |
| 1598323263 | My Choice Pharmacy | Pharmacy | 8008 Camp Bowie West Blvd Ste 111, Fort Worth, TX 76116-6300 | 2019-05-29 |
| 1710451034 | Brahmani Health Corp | Pharmacy | 2215 W Berry St, Fort Worth, TX 76110-2804 | 2019-01-20 |
| 1619448248 | Nulife Pharmacy, Inc | Pharmacy | 14150 Trinity Blvd Ste 750, Fort Worth, TX 76155-2597 | 2018-12-07 |
| 1275001786 | Vijyalaxmi Enterprise Inc | Pharmacy | 5750 W Vickery Blvd Ste 110, Fort Worth, TX 76107-7448 | 2018-11-02 |
| 1588140131 | Alliance Pharmacy LLC | Pharmacy | 9601 N Beach St Ste 105, Fort Worth, TX 76244-6432 | 2018-07-17 |
| 1740784206 | Cvs Pharmacy Inc | Pharmacy | 515 Houston St, Fort Worth, TX 76102 | 2018-03-20 |
| 1518466713 | Hk Complete Health Inc | Pharmacy | 1900 W Everman Pkwy Ste 120, Fort Worth, TX 76134-4326 | 2018-02-03 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76179 |
Please comment or provide details below to improve the information on KROGER TEXAS LP.
| 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.