KROGER TEXAS L P (NPI# 1699848911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699848911 |
| Entity Type | Organization |
| Organization Name | KROGER TEXAS L P |
| Other Organization Name | KROGER PHARMACY |
| Practice Address |
313 E Pioneer Pkwy Grand Prairie TX 75051-4942 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 9722643011 |
| Practice Fax Number | 9722642166 |
| Mailing Telephone | 5137621019 |
| Mailing Fax Number | 5137621092 |
| Enumeration Date | 2006-11-16 |
| 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 |
20180 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2102461 | 01 | |
| TX | 464523 | 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 |
313 E PIONEER PKWY |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75051-4942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154961308 | Khalil Mohamad | Pharmacist | 313 E Pioneer Pkwy, Grand Prairie, TX 75051-4942 | 2020-01-15 |
| 1891335170 | Kim Do | Pharmacist | 313 E Pioneer Pkwy, Grand Prairie, TX 75051-4942 | 2020-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750940342 | Laura Burdette | Counselor | 2801 Oster Dr., Building A Suite 300, Grand Prairie, TX 75051 | 2019-06-07 |
| 1871087460 | Cam Chau Huynh | Pharmacist | 2615 W Pioneer Pwky Suite 139, Grand Prairie, TX 75051 | 2018-06-18 |
| 1710416060 | Squeece Services LLC | Private Vehicle | 2304 Oak Ln Dr Suite 201, Grand Prairie, TX 75051 | 2017-06-09 |
| 1477000883 | Marshall Anderson | Specialist/Technologist | 101 Gopher Boulevard, Grand Prairie, TX 75051 | 2016-09-01 |
| 1932570934 | By His Grace Housecalls Inc | Nurse Practitioner | 2305 Oak Ln Ste 106, Grand Prairie, TX 75051 | 2015-10-15 |
| 1225453921 | Perfection Housecalls of Texas LLC | Nurse Practitioner | 2755 Furlong Dr, Grand Prairie, TX 75051 | 2014-03-04 |
| 1669619300 | Parker Health Care Services Inc | Nursing Care | 2305 Oak Lane Ste 211, Grand Prairie, TX 75051 | 2009-01-16 |
| 1861639718 | Jacqueline Lanae Fort | Contractor | 842 Pangburn St, Grand Prairie, TX 75051 | 2009-01-14 |
| 1386841625 | Omolara Abitoye | Pediatrics | 688 W Pioneer Pkwy Ste 120, Grand Prairie, TX 75051 | 2007-06-29 |
| 1750584934 | Mai Tram Phan | Dentist | 2100 S Great Sw Pky, Suite #102, Grand Prairie, TX 75051 | 2007-06-06 |
| Find all providers in zip 75051 | ||||
| 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 |
|---|---|---|---|---|
| 1730644196 | Kenneth Chike Nwankwo | Pharmacy | 2817 Garden Oaks Pl, Grand Prairie, TX 75052-4402 | 2019-02-09 |
| 1528549557 | Wellfort Corporation | Pharmacy | 3950 S Carrier Pkwy Ste 100, Grand Prairie, TX 75052-6671 | 2018-08-27 |
| 1134669070 | Mayfield Pharmacy Inc | Pharmacy | 2451 Robinson Rd Ste 200, Grand Prairie, TX 75051-3978 | 2017-02-25 |
| 1205243086 | Zing Pharmacy LLC | Pharmacy | 2615 W Pioneer Pkwy Ste 139, Grand Prairie, TX 75051-3618 | 2014-07-14 |
| 1407290356 | Premier One Pharma Inc. | Pharmacy | 4927 Lake Ridge Pkwy Ste #180, Grand Prairie, TX 75052 | 2013-04-22 |
| 1083775159 | Sunrise Care Inc | Pharmacy | 2771 Sherman St, Suite B, Grand Prairie, TX 75051-6016 | 2006-12-13 |
| 1619055597 | Minyard Food Stores Inc. | Pharmacy | 2500 S Carrier Pkwy, Grand Prairie, TX 75052-5016 | 2006-11-01 |
| 1508960394 | Cvs Pharmacy Inc | Pharmacy | 810 W Pioneer Pkwy, Grand Prairie, TX 75051-4708 | 2006-09-12 |
| 1568409951 | Walgreen Co. | Pharmacy | 4103 S Great Southwest Pkwy, Grand Prairie, TX 75052-3801 | 2006-06-02 |
| 1760904932 | Ideal Specialty Pharmacy, LLC | Pharmacy | 2771 Sherman St, Suite B, Grand Prairie, TX 75051-6018 | 2017-07-10 |
| Find all providers in GRAND PRAIRIE | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75051 |
Please comment or provide details below to improve the information on KROGER TEXAS L P.
| 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.