KROGER TEXAS LP (NPI# 1720477888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720477888 |
| Entity Type | Organization |
| Organization Name | KROGER TEXAS LP |
| Other Organization Name | KROGER PHARMACY #917 |
| Practice Address |
3915 E Us Highway 377 Granbury TX 76049-7431 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 6824984223 |
| Practice Fax Number | 6824984224 |
| Mailing Telephone | 5137621019 |
| Mailing Fax Number | 5137621092 |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2016-06-27 |
| 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 | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
29771 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2149716 | 01 | |
| TX | 467121 | 05 |
| Other Name | Type Code |
|---|---|
| Kroger Pharmacy #917 | 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 |
| 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 |
| Street Address |
3915 E US HIGHWAY 377 |
| City | GRANBURY |
| State | TX |
| Zip Code | 76049-7431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720618671 | Danielle E Ehrstein | Pharmacist | 3915 E Us Highway 377, Granbury, TX 76049-7431 | 2020-01-20 |
| 1568092419 | Brandi Kulczycki | Pharmacist | 3915 E Us Highway 377, Granbury, TX 76049-7431 | 2020-01-20 |
| 1760012736 | Amy Crawford | Pharmacist | 3915 E Us Highway 377, Granbury, TX 76049-7431 | 2020-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743802 | Debra Lynn Shearon | Nurse Practitioner | 3605 Pecan Arbor Ct, Granbury, TX 76049 | 2020-03-02 |
| 1841783255 | Adrienne Rhodes Montgomery | Dentist | 2600 James Rd Ste 100, Granbury, TX 76049 | 2018-06-11 |
| 1760920656 | Natalie Marie Alvarez | Occupational Therapist | 802 Rambling Ct, Granbury, TX 76049 | 2017-02-10 |
| 1982048948 | Luke A Chambless | Radiology | 5820 Long Drive, Granbury, TX 76049 | 2013-04-22 |
| 1053682732 | Mollie M Van Deusen | Counselor | 4425 E Hyw 377, Suite 116, Granbury, TX 76049 | 2012-01-26 |
| 1730469545 | Modern Dental Professionals Dallas/ft. Worth PC | Dentist | 3902 E. Us Highway 377, #100, Granbury, TX 76049 | 2011-08-24 |
| 1417242926 | H-e-b, Lp | Clinical Medical Laboratory | 3804 East Us Highway 377, Granbury, TX 76049 | 2011-06-13 |
| 1760502199 | Rebecca S. Shank Md Pa | Psychiatry & Neurology | 2003 Rockview Dr., Granbury, TX 76049 | 2007-03-30 |
| 1093843179 | Jason A Berry Dds Pa | Dentist | 2600 James Road, Ste #100, Granbury, TX 76049 | 2007-03-01 |
| 1265576516 | Darren Keith George | Family Medicine | 2003 Rockview Drive, Granbury, TX 76049 | 2007-02-19 |
| Find all providers in zip 76049 | ||||
| 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 |
|---|---|---|---|---|
| 1740387232 | Cvs Pharmacy Inc | Pharmacy | 1101 E Hwy 377, Granbury, TX 76048 | 2006-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790575 | Nextlevel Pharmaceuticals LLC | Pharmacy | 1110 Texas Pkwy, Stafford, TX 77477-6419 | 2020-11-06 |
| 1629679410 | Duehan Tran Ngo | Pharmacy | 403 W Sam Houston Pkwy N, Houston, TX 77024-4736 | 2020-11-06 |
| 1679174882 | Comanche County Medical Center Company | Pharmacy | 1870 State Hwy 36, Rising Star, TX 76471 | 2020-11-04 |
| 1629679717 | Edith Achebodt | Pharmacy | 2233 Avenue J Ste 103b, Arlington, TX 76006-5884 | 2020-11-04 |
| 1356942767 | Rxassist Pharmacy, Inc. | Pharmacy | 17020 Beaver Springs Dr Ste 8, Houston, TX 77090-2398 | 2020-11-03 |
| 1154921864 | Mbepe Health LLC | Pharmacy | 301 S 9th St Ste 121, Richmond, TX 77469-3448 | 2020-10-30 |
| 1639779366 | Mens African Investors | Pharmacy | 6355 S Peek Rd Ste 300, Katy, TX 77450-7195 | 2020-10-30 |
| 1861091977 | A Medizona Pharmacy | Pharmacy | 3700 Barker Cypress Rd, Suite 700, Houston, TX 77084 | 2020-10-20 |
| 1952900078 | Nudo Pharmacy LLC | Pharmacy | 104 Industrial Blvd Ste 201, Sugar Land, TX 77478-3174 | 2020-10-20 |
| 1194324277 | Rite Scripts Pharmacy Inc | Pharmacy | 13835 Westhollow Park Dr Apt 2805, Houston, TX 77082-1885 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.