KROGER TEXAS LP (NPI# 1528508439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528508439 |
| Entity Type | Organization |
| Organization Name | KROGER TEXAS LP |
| Other Organization Name | KROGER PHARMACY #121 |
| Practice Address |
9806 Gaston Rd Katy TX 77494-7648 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 3463073055 |
| Practice Fax Number | 3463073058 |
| Mailing Telephone | 5137621019 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | ALLISON BREDESTEGE (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 | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2168059 | 01 |
| Other Name | Type Code |
|---|---|
| Kroger Pharmacy #121 | 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 |
| 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 |
| 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 |
9806 GASTON RD |
| City | KATY |
| State | TX |
| Zip Code | 77494-7648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609407055 | Brook Harper | Pharmacist | 9806 Gaston Rd, Katy, TX 77494-7648 | 2020-02-03 |
| 1700417383 | Shiva Zangeneh | Pharmacist | 9806 Gaston Rd, Katy, TX 77494-7648 | 2020-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880899 | Julie Dyan Meyers | Speech-Language Pathologist | 4747 Fm 1463 Suite 900, Katy, TX 77494 | 2020-08-03 |
| 1235763426 | Lucy J Pena | Technician | 28106 Sugarside Glen Dr, Katy, TX 77494 | 2020-02-26 |
| 1063042455 | Wonace LLC | Durable Medical Equipment & Medical Supplies | 2717 Commercial Blvd, E200, Katy, TX 77494 | 2020-01-24 |
| 1801431002 | Justin Lee Landers | Specialist/Technologist | 2818 Fair Chase, Katy, TX 77494 | 2019-11-12 |
| 1285276006 | Chrysalis Group LLC | Pharmacy | 1259 Fm 1463 Suite 700, Katy, TX 77494 | 2019-10-14 |
| 1033760400 | Aaron Moniotte | Pharmacist | 23331 Grand Reserve Dr, Katy, TX 77494 | 2019-09-26 |
| 1467001743 | Julie Hankinson | Technician | 4903 Surrey Park Circle, Katy, TX 77494 | 2019-09-09 |
| 1710532148 | Icome2u Nursing Providers Inc | Nurse Practitioner | 26307 Sundown Cove Lane, Katy, TX 77494 | 2019-08-02 |
| 1881252203 | Encompass Health Rehabilitation Hospital of Katy, LLC | Rehabilitation Hospital | 23331 Grand Reserve Drive, Katy, TX 77494 | 2019-05-31 |
| 1407312945 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 322 Cane Island Pkwy, Katy, TX 77494 | 2019-02-20 |
| Find all providers in zip 77494 | ||||
| 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 |
|---|---|---|---|---|
| 1639779366 | Mens African Investors | Pharmacy | 6355 S Peek Rd Ste 300, Katy, TX 77450-7195 | 2020-10-30 |
| 1003422650 | My Delivery Pharmacy | Pharmacy | 6356 S Peek Rd Ste 1200, Katy, TX 77450-7190 | 2020-09-18 |
| 1487263091 | Experience Infusion Center-katy-inc | Pharmacy | 25910 Westheimer Pkwy Ste 110, Katy, TX 77494-5391 | 2020-07-29 |
| 1265053383 | Ks Pharm, LLC | Pharmacy | 2510 West Grand Parkway North, Katy, TX 77493 | 2020-04-29 |
| 1285276006 | Chrysalis Group LLC | Pharmacy | 1259 Fm 1463 Suite 700, Katy, TX 77494 | 2019-10-14 |
| 1538720263 | Dunamis Pharmacy, LLC | Pharmacy | 5502 North Fry Rd, Katy, TX 77449 | 2019-06-24 |
| 1568922235 | Hml Group LLC | Pharmacy | 5304 E 5th St Ste 103, Katy, TX 77493-2532 | 2019-03-20 |
| 1679031199 | First Elite Pharmacy | Pharmacy | 1525 S Mason Rd Ste 200, Katy, TX 77450-4559 | 2019-03-04 |
| 1821554551 | Atoms Pharmacy LLC | Pharmacy | 2333 Fry Rd, Katy, TX 77449-6219 | 2019-02-19 |
| 1720557846 | Striker Pharmacy LLC | Pharmacy | 1330 Pin Oak Rd, Katy, TX 77494-6848 | 2018-11-19 |
| Find all providers in KATY | ||||
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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.