KROGER TEXAS L P


Address: 2200 Fm 663, Midlothian, TX 76065-5600
Phone: 4693362041

KROGER TEXAS L P (NPI# 1730601782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730601782
Entity Type Organization
Organization Name KROGER TEXAS L P
Other Organization Name KROGER PHARMACY #596
Practice Address 2200 Fm 663
Midlothian
TX 76065-5600
Mailing Address Po Box 842772
Boston
MA 02284-2772
Practice Telephone 4693362041
Enumeration Date 2017-07-12
Last Update Date 2017-07-12
Authorized Official Name ALLISON BREDESTEGE (MANAGER OF PHARMACY LICENSING)
Authorized Official Telephone 5137621019
Is Organization Subpart N

Taxonomy

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
Suppliers

Other Provider/Organization Names

Other Name Type Code
Kroger Pharmacy #596 Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
1821221086 Kroger Texas L P Durable Medical Equipment & Medical Supplies 24401 Brazos Town Xing, Rosenberg, TX 77471-6268 2009-09-03

Office Location

Street Address 2200 FM 663
City MIDLOTHIAN
State TX
Zip Code 76065-5600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750980090 Ngoc Mai Pham Pharmacist 2200 Fm 663, Midlothian, TX 76065-5600 2020-10-19
1205460391 Micah James Mccuistion Pharmacist 2200 Fm 663, Midlothian, TX 76065-5600 2020-02-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487271375 Methodist Hospitals of Dallas General Acute Care Hospital 1201 E Us Hwy 287, Midlothian, TX 76065 2020-06-26
1568085033 Kyle Jason Mitchell Social Worker 4025 E Us 287, Midlothian, TX 76065 2020-05-19
1912549833 Prestige Dermatology of Midlothian Dermatology 320 Hawkins Run Rd., Suite 1, Midlothian, TX 76065 2019-10-11
1669939336 John Morgan Buie Dentist 2410 Fm 663, Suite 200, Midlothian, TX 76065 2019-02-28
1891264685 Aaric Shammah Services LLC Community/Behavioral Health 6610 Dempsey Ln, Midlothian, TX 76065 2018-11-21
1952883399 Tabitha Jayne Schwark Occupational Therapy Assistant 938 Mill Pond Dr., Midlothian, TX 76065 2018-09-01
1306348867 Linda Susan Rose Licensed Vocational Nurse 4081 Walnut Ln, Midlothian, TX 76065 2018-03-01
1922524362 Jacqueline C. Avalos Counselor 5431 Montgomery Rd., Midlothian, TX 76065 2017-08-17
1215322169 Midtown 2013 Re, LLC Assisted Living Facility 910 S. 9th Street, Midlothian, TX 76065 2015-03-30
1902218852 Katherine Pederson Family Medicine 2230 Bryan Pl Ste 200, Midlothian, TX 76065 2014-05-27
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518518356 Patel Rx Care, LLC Pharmacy 11800 Hull Street Rd Ste E, Midlothian, VA 23112-2948 2019-09-23
1487891867 Virginia Cvs Pharmacy LLC Pharmacy 201 Perimeter Dr, Midlothian, VA 23113-7314 2009-01-07
1992803464 Virginia Cvs Pharmacy LLC Pharmacy 3851 N Bailey Bridge Rd, Midlothian, VA 23112-2913 2006-09-20
1710081484 Virginia Cvs Pharmacy, L.L.C. Pharmacy 13800 Hull Street Rd, Midlothian, VA 23112-2002 2006-09-12
1609399617 Walgreen Co Pharmacy 3120 Polo Pkwy, Midlothian, VA 23113-4822 2017-07-21
1326496779 Texas Health Rx, LLC Pharmacy 616 E Main St, Midlothian, TX 76065 2016-05-26
1639590516 Texas Health Rx, LLC Pharmacy 616 E Main St, Midlothian, TX 76065 2013-12-19
1043584121 P & H Corporation Pharmacy 1441 S Midlothian Pkwy, #140, Midlothian, TX 76065-5591 2012-03-07
1649377144 Cvs Pharmacy Inc Pharmacy 100 E Main St, Midlothian, TX 76065-3063 2006-09-20
1568484244 Virginia Cvs Pharmacy LLC Pharmacy 4601 Commonwealth Centre Pkwy, Midlothian, VA 23112-2639 2006-07-24
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Competitor

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City MIDLOTHIAN
Zip Code 76065

Improve Information

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Dataset Information

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.

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