KROGER TEXAS L P (NPI# 1295808723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295808723 |
| Entity Type | Organization |
| Organization Name | KROGER TEXAS L P |
| Other Organization Name | KROGER PHARMACY |
| Practice Address |
3510 Altamesa Blvd Ft Worth TX 76133-5602 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 8172923777 |
| Practice Fax Number | 8173701438 |
| Mailing Telephone | 5137621019 |
| Mailing Fax Number | 5137621092 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2016-05-16 |
| Authorized Official Name | ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING) |
| Authorized Official Telephone | 5137621019 |
| 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 |
20225 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2102458 | 01 | |
| TX | 464530 | 05 |
| Other Name | Type Code |
|---|---|
| KROGER PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972092609 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 18861 University Blvd, Sugar Land, TX 77479-5155 | 2018-05-08 |
| 1730601782 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 2200 Fm 663, Midlothian, TX 76065-5600 | 2017-07-12 |
| 1801279815 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 1631 Sw Wilshire Blvd, Burleson, TX 76028-6305 | 2015-07-08 |
| 1861872665 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 20355 Cypresswood Dr, Cypress, TX 77433-6477 | 2015-06-05 |
| 1184012338 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 4620 State Highway 121, Lewisville, TX 75056-4530 | 2014-12-22 |
| 1164841268 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 9703 Barker Cypress Rd, Cypress, TX 77433-1214 | 2014-04-16 |
| 1265701742 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 4901 Maple Ave, Dallas, TX 75235-8210 | 2011-12-29 |
| 1780977785 | Kroger Texas L P | Pharmacy | 3300 E Broad St, Mansfield, TX 76063-5629 | 2011-05-24 |
| 1336442490 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 3300 Texas Sage Trl, Fort Worth, TX 76177-8600 | 2010-12-13 |
| 1932332111 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 12221 Custer Rd, Frisco, TX 75035-9306 | 2009-09-03 |
| Street Address |
3510 ALTAMESA BLVD |
| City | FT WORTH |
| State | TX |
| Zip Code | 76133-5602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740830645 | Dieseru Healthcare Services LLC. | Technician | 2325 Woodmont Trail, Forth Worth, TX 76133 | 2019-09-13 |
| 1447636212 | Westcreek Animal Clinic P.C. | Veterinarian | 3313 Park Lake Dr., Fort Worth, TX 76133 | 2015-08-04 |
| 1750784286 | Tlc Dentistry of Fort Worth, LLC | Dentist | 7664 Mccart Ave., Fort Worth, TX 76133 | 2014-09-29 |
| 1184047581 | Jene Hunt | Pharmacist | 6225 Westcreek Dr, Fort Worth, TX 76133 | 2014-01-22 |
| 1841538972 | Chelsea Rene Sanders | Speech-Language Pathologist | 6036 Worrell Dr, Fort Worth, TX 76133 | 2013-01-24 |
| 1588926026 | Roger Allan Beck | Internal Medicine | 4509 Fox Fire Way, Fort Worth, TX 76133 | 2012-06-11 |
| 1477812857 | Little Star Rehab | Point of Service | 4525 Altamesa Blvd, Fort Worth, TX 76133 | 2012-05-07 |
| 1477824605 | Lauren Elizabeth Hall | Speech-Language Pathologist | 5316 Trail Lake Drive, Fort Worth, TX 76133 | 2012-01-19 |
| 1770772519 | Sherriann Michelle Erby | Occupational Therapist | 7100 Trail Lake Drive, Fort Worth, TX 76133 | 2007-10-17 |
| 1811193170 | Carol Diane Edley | Speech-Language Pathologist | 4400 Sweetgum Way, Ft Worth, TX 76133 | 2007-06-25 |
| Find all providers in zip 76133 | ||||
| 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 |
|---|---|---|---|---|
| 1104904150 | Minyard Food Stores Inc. | Pharmacy | 102 Nw 28th St, Ft Worth, TX 76106-7115 | 2006-11-01 |
| 1063599801 | Minyard Food Stores Inc. | Pharmacy | 1212 N Beach St, Ft Worth, TX 76111-6027 | 2006-11-01 |
| 1326126293 | Minyard Food Stores Inc. | Pharmacy | 7809 Camp Bowie W, Ft Worth, TX 76116-6417 | 2006-11-01 |
| 1346328358 | Minyard Food Stores Inc. | Pharmacy | 3451 Altamesa Blvd, Ft Worth, TX 76133-5701 | 2006-11-01 |
| 1316024292 | Minyard Food Stores Inc. | Pharmacy | 3563 Alton Rd, Ft Worth, TX 76109-2834 | 2006-10-31 |
| 1740367614 | Minyard Food Stores Inc. | Pharmacy | 4245 E Berry St, Ft Worth, TX 76105-5002 | 2006-10-31 |
| 1548364359 | Cvs Pharmacy Inc | Pharmacy | 1201 N Beach St, Ft Worth, TX 76111-6043 | 2006-09-12 |
| 1679677462 | Cvs Pharmacy Inc | Pharmacy | 8520 Camp Bowie W, Ft Worth, TX 76116-6203 | 2006-09-12 |
| 1669576450 | Cvs Pharmacy Inc | Pharmacy | 3614 Camp Bowie Blvd, Ft Worth, TX 76107-3352 | 2006-09-12 |
| 1457455263 | Cvs Pharmacy Inc | Pharmacy | 4140 E Lancaster Ave, Ft Worth, TX 76103-3615 | 2006-09-12 |
| Find all providers in FT WORTH | ||||
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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.