KROGER TEXAS L P (NPI# 1881767309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881767309 |
| Entity Type | Organization |
| Organization Name | KROGER TEXAS L P |
| Other Organization Name | KROGER PHARMACY |
| Practice Address |
12620 Woodforest Blvd Ste 200 Houston TX 77015-3568 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 7134518184 |
| Practice Fax Number | 7134518156 |
| 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 |
20198 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2090497 | 01 | |
| TX | 464564 | 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 |
12620 WOODFOREST BLVD STE 200 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77015-3568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203287 | Derek David | Pharmacist | 12620 Woodforest Blvd Ste 200, Houston, TX 77015-3568 | 2020-10-19 |
| 1861025066 | Sherly Abraham | Pharmacist | 12620 Woodforest Blvd Ste 200, Houston, TX 77015-3568 | 2020-02-16 |
| 1538790415 | Ambrea Personia Whitlock | Pharmacist | 12620 Woodforest Blvd Ste 200, Houston, TX 77015-3568 | 2020-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144701061 | Elsa Marquez | Registered Nurse | 14223 Wadebridge Way, Houston, TX 77015 | 2018-08-28 |
| 1730544065 | Fresenius Medical Care Northeast Houston, LLC | Clinic/Center | 4810 E Sam Houston Pkwy N, Houston, TX 77015 | 2015-12-31 |
| 1316338650 | Candice Rogers | Physical Therapy Assistant | 13649 East Freeway, Houston, TX 77015 | 2015-02-09 |
| 1114346301 | Michael William Chang | Dentist | 12450 East Fwy Ste 140, Houston, TX 77015 | 2014-04-15 |
| 1114344249 | Annabel Maldonado-carrizales | Occupational Therapist | 12605 East Freeway, Suite 212, Houston, TX 77015 | 2014-03-26 |
| 1720326036 | Stephanie Frances Parlangeli | Occupational Therapist | 12605 East Fwy, Houston, Suite 200, Houston, TX 77015 | 2013-01-21 |
| 1700173887 | Karen Alicia Henry | Counselor | 331 Freeport Street, Houston, TX 77015 | 2011-07-08 |
| 1619298031 | Clinic 1 Care, Inc. | General Practice | 14225 East Freeway, Houston, TX 77015 | 2010-06-21 |
| 1043536303 | Alternative Learning LLC | Residential Treatment Facility, Physical Disabilities | 13214 Myrna Lane, Houston, TX 77015 | 2010-04-12 |
| 1205015237 | Open Hearts Home Health Care | Home Health | 14115 Woodwolf Ct, Houston, TX 77015 | 2007-10-26 |
| Find all providers in zip 77015 | ||||
| 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 |
|---|---|---|---|---|
| 1629679410 | Duehan Tran Ngo | Pharmacy | 403 W Sam Houston Pkwy N, Houston, TX 77024-4736 | 2020-11-06 |
| 1356942767 | Rxassist Pharmacy, Inc. | Pharmacy | 17020 Beaver Springs Dr Ste 8, Houston, TX 77090-2398 | 2020-11-03 |
| 1861091977 | A Medizona Pharmacy | Pharmacy | 3700 Barker Cypress Rd, Suite 700, Houston, TX 77084 | 2020-10-20 |
| 1194324277 | Rite Scripts Pharmacy Inc | Pharmacy | 13835 Westhollow Park Dr Apt 2805, Houston, TX 77082-1885 | 2020-10-20 |
| 1538766019 | Hpb Pharmacy | Pharmacy | 6410 Fannin St Ste 116, Houston, TX 77030-3006 | 2020-10-07 |
| 1811594823 | Taha Pharmacy | Pharmacy | 1383 Bunker Hill Rd, 101, Houston, TX 77055 | 2020-10-02 |
| 1346857471 | Tulson Pharmacy, LLC | Pharmacy | 3235 Holman St, Houston, TX 77004-3541 | 2020-09-23 |
| 1487260998 | L K & E Management Inc | Pharmacy | 8880 Bellaire Blvd Ste B2, Houston, TX 77036-4621 | 2020-09-20 |
| 1235744459 | Royal Nandina Inc | Pharmacy | 11970 Wilcrest Dr # 105a, Houston, TX 77031-1923 | 2020-09-14 |
| 1386256816 | The Queen LLC | Pharmacy | 2600 S Loop W Ste 435a, Houston, TX 77054-2653 | 2020-08-17 |
| Find all providers in HOUSTON | ||||
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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.