KROGER TEXAS L P (NPI# 1740353366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740353366 |
| Entity Type | Organization |
| Organization Name | KROGER TEXAS L P |
| Other Organization Name | KROGER PHARMACY |
| Practice Address |
1617 W Henderson St Cleburne TX 76033-4122 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 8176410700 |
| Practice Fax Number | 8176455608 |
| Mailing Telephone | 5137621019 |
| Mailing Fax Number | 5137621092 |
| Enumeration Date | 2006-11-15 |
| 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 | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
20248 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2097186 | 01 | |
| TX | 464594 | 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 |
1617 W HENDERSON ST |
| City | CLEBURNE |
| State | TX |
| Zip Code | 76033-4122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314064 | Keegan Rayford | Pharmacist | 1617 W Henderson St, Cleburne, TX 76033-4122 | 2020-10-21 |
| 1780224212 | Brianna Marie Chesser | Pharmacist | 1617 W Henderson St, Cleburne, TX 76033-4122 | 2020-01-13 |
| 1093355646 | Joe Miller | Pharmacist | 1617 W Henderson St, Cleburne, TX 76033-4122 | 2020-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628631 | Barbara Hicks | Technician | 1020 Highland Rd, Cleburne, TX 76033 | 2019-09-12 |
| 1346758315 | Tabatha Estes | Physician Assistant | 2010 W Katherine P Raines Rd Ste 100, Cleburne, TX 76033 | 2018-01-11 |
| 1053836759 | A Bright Foundation | Community/Behavioral Health | 509 Graham Street, Cleburne, TX 76033 | 2017-08-03 |
| 1891162491 | Lesa Hough | Occupational Therapist | 1503 Twin Oaks Ct, Cleburne, TX 76033 | 2015-08-31 |
| 1043695984 | Eduy J James | Nurse Practitioner | 128 S. Ridgeway Drive, Cleburne, TX 76033 | 2015-07-21 |
| 1306235775 | Bavousett's Caring Keepers | Registered Nurse | 405 N. Ridgeway Dr., Suite 1-a, Cleburne, TX 76033 | 2015-01-22 |
| 1679994313 | Health Imaging Partners LLC | Physiological Laboratory | 203 Walls Drive, Ste 101, Cleburne, TX 76033 | 2013-12-24 |
| 1043641079 | Melinda Weber | Counselor | 1819 Cr #1107a, Cleburne, TX 76033 | 2013-12-02 |
| 1356778070 | Jeremy Lamar Carter | Psychologist | 904 E Henderson St, Cleburne, TX 76033 | 2013-09-27 |
| 1770844102 | Heart To Heart Hospice of The Brazos, LLC | Hospice Care, Community Based | 1200 W Henderson St Ste I, Cleburne, TX 76033 | 2012-06-01 |
| Find all providers in zip 76033 | ||||
| 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 |
|---|---|---|---|---|
| 1386113439 | Boulder Holdings, LLC | Pharmacy | 1301 W Henderson St Ste L4-c, Cleburne, TX 76033-5100 | 2018-11-19 |
| 1922102730 | Cvs Pharmacy Inc | Pharmacy | 614 W Henderson St, Cleburne, TX 76033-4848 | 2006-09-12 |
| 1710973573 | Cleburne Drug Inc | Pharmacy | 501 N Ridgeway Dr, Cleburne, TX 76033-5111 | 2005-09-26 |
| 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.