KROGER TEXAS L P (NPI# 1679646103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679646103 |
| Entity Type | Organization |
| Organization Name | KROGER TEXAS L P |
| Other Organization Name | KROGER PHARMACY |
| Practice Address |
4851 Legacy Dr Frisco TX 75034-0816 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 9723770251 |
| Practice Fax Number | 9723773251 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
23769 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2096199 | 01 | |
| TX | 466148 | 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 |
4851 LEGACY DR |
| City | FRISCO |
| State | TX |
| Zip Code | 75034-0816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124047808 | Sharyce Lyna Wise | Chiropractor | 4851 Legacy Dr, Suite 307, Frisco, TX 75034-0816 | 2006-07-19 |
| 1760006936 | Nicole Alene Muilenburg | Nurse Practitioner | 4851 Legacy Dr, Frisco, TX 75034-0816 | 2020-06-03 |
| 1598395949 | Anthony Savard | Pharmacist | 4851 Legacy Dr, Frisco, TX 75034-0816 | 2020-01-23 |
| 1144850199 | Charmaine Kien Tran | Pharmacist | 4851 Legacy Dr, Frisco, TX 75034-0816 | 2020-01-17 |
| 1275981128 | Legacy Dental Associates, P.C. | Durable Medical Equipment & Medical Supplies | 4851 Legacy Dr, Suite 201, Frisco, TX 75034-0816 | 2016-06-01 |
| 1275834483 | Legacy Dental Associates, P.C. | Dentist | 4851 Legacy Dr, Suite 201, Frisco, TX 75034-0816 | 2010-11-04 |
| 1609064773 | Complete Chiropractic, P.a. | Chiropractor | 4851 Legacy Dr, Frisco, TX 75034-0816 | 2007-10-14 |
| 1144424995 | Healthy Kids Pediatrics | Specialist | 4851 Legacy Dr, Suite 601, Frisco, TX 75034-0816 | 2007-06-14 |
| 1205059813 | Frisco Lebanon Medical Center | Clinic/Center | 4851 Legacy Dr, Suite 301, Frisco, TX 75034-0816 | 2007-04-11 |
| 1558585885 | Starwood Chiropractic, P.a. | Chiropractor | 4851 Legacy Dr, Suite 307, Frisco, TX 75034-0816 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275463 | Chiroconcepts of Frisco North Pllc | Chiropractor | 13108 Dallas Pkwy, Suite 410, Frisco, TX 75034 | 2020-11-06 |
| 1790394625 | Lindsey Wertheim | Nurse Practitioner | 4325 Preston Rd, #300, Frisco, TX 75034 | 2020-07-27 |
| 1154948198 | Walker Plastic Surgery Pllc | Surgery | 12590 Dallas Pkwy, Ste 200, Frisco, TX 75034 | 2020-06-25 |
| 1700425055 | Goldfish Group Inc. | Clinic/Center | 6735 Salt Cedar Way, Building 1, 1039-300, Frisco, TX 75034 | 2020-01-04 |
| 1255979506 | Livelife LLC | Clinic/Center | 8668 John Hickman Parkway, Frisco, TX 75034 | 2019-12-17 |
| 1215581780 | Magnolia Pediatrics | Pediatrics | 2875 Main St. Suite 104, Frisco, TX 75034 | 2019-08-01 |
| 1811555386 | Alexis Deann Rickey | Speech-Language Pathologist | 4300 Cotton Gin Road, Frisco, TX 75034 | 2019-05-30 |
| 1316500952 | Jtma Inc | Pharmacy | 5899 Preston Road, Bldg 6 Ste 602, Frisco, TX 75034 | 2019-04-18 |
| 1194388173 | Amplify Chiropractic, Pllc | Chiropractor | 8250 Gaylord Pkwy, Ste. 3, Room 21, Frisco, TX 75034 | 2019-04-16 |
| 1740742030 | Princy Kurian | Occupational Therapist | Baylor Scott & White Institute for Rehabilitation Dn, Frisco, TX 75034 | 2019-04-04 |
| Find all providers in zip 75034 | ||||
| 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 |
|---|---|---|---|---|
| 1548876691 | Purehealth Pharmacy LLC | Pharmacy | 8750 Main St Ste 204, Frisco, TX 75033-3085 | 2020-09-23 |
| 1457985970 | Lifetimerx LLC | Pharmacy | 255 W Lebanon Ste 200a, Frisco, TX 75036-3411 | 2020-02-24 |
| 1780214114 | The University of Texas Southwestern Medical Center At Dallas | Pharmacy | 12500 Dallas Pwky, Ste 1.200, Frisco, TX 75033 | 2020-01-24 |
| 1457908782 | Twin Rivers Pharmacy, LLC | Pharmacy | 7777 Warren Pkwy Ste 360, Frisco, TX 75034-6549 | 2019-08-21 |
| 1316500952 | Jtma Inc | Pharmacy | 5899 Preston Road, Bldg 6 Ste 602, Frisco, TX 75034 | 2019-04-18 |
| 1518427715 | Cvs Pharmacy Inc | Pharmacy | 1177 Us Hwy 380, Frisco, TX 75068 | 2019-03-22 |
| 1669901856 | Frisco Pharmacy LLC | Pharmacy | 14550 Sh-121, Suite 150, Frisco, TX 75035 | 2017-06-09 |
| 1023403367 | Moike Enterprises LLC | Pharmacy | 9201 Warren Pkwy # 300, Frisco, TX 75035-6202 | 2015-04-03 |
| 1619101185 | Walgreen Co | Pharmacy | 7255 Coit Rd, Frisco, TX 75035-4906 | 2009-05-12 |
| 1699846212 | Parkside Pharmacy | Pharmacy | 6449 Coit Rd Ste 116, Frisco, TX 75035-8670 | 2006-11-13 |
| Find all providers in FRISCO | ||||
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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.