KROGER TEXAS L P


Address: 1050 Bridgewood Dr, Fort Worth, TX 76112-0802
Phone: 8174466673

KROGER TEXAS L P (NPI# 1982777504) 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) 1982777504
Entity Type Organization
Organization Name KROGER TEXAS L P
Other Organization Name KROGER PHARMACY
Practice Address 1050 Bridgewood Dr
Fort Worth
TX 76112-0802
Mailing Address 19245 David Memorial Dr
Shenandoah
TX 77385-8778
Practice Telephone 8174466673
Practice Fax Number 8174464943
Mailing Telephone 7135076276
Mailing Fax Number 9364426704
Enumeration Date 2006-11-15
Last Update Date 2010-09-07
Authorized Official Name KARLA LANGWORTHY (PHARMACY LICENSING MANAGER)
Authorized Official Telephone 5136981878
Is Organization Subpart N

Taxonomy

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
20314 TX Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP PROVIDER IDENTIFICATION NUMBER 4596144 01
TX 464651 05

Other Provider/Organization Names

Other Name Type Code
KROGER PHARMACY 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
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

Office Location

Street Address 1050 BRIDGEWOOD DR
City FORT WORTH
State TX
Zip Code 76112-0802

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396211397 Shelia Minor Home Health Aide 5648 Victoria Place, Fort Worth, TX 76112 2018-10-17
1457833816 Joanne Medford Physical Therapy Assistant 1704 Wilson Rd, Fort Worth, TX 76112 2018-09-02
1821525502 Kids & Hugs Home Therapy Home Health 2317 Maryel Dr., Fort Worth, TX 76112 2017-05-12
1932516846 Neuroassessment Services LLC Clinical Neuropsychologist 5601 Bridge Street, Suite 500, Ft. Worth, TX 76112 2014-07-14
1114346335 Blessed Beginnings Day Training, Developmentally Disabled Services 2320 Blue Smoke Court North, Fort Worth, TX 76112 2014-04-15
1790035517 Transitions for Success Inc In Home Supportive Care 6228 Warrington Pl Ace, Fort Worth, TX 76112 2012-09-19
1194048116 Jerlene Bonner Tippett Home Health Aide 1701 Bunch Dr, Ft Worth, TX 76112 2010-03-04
1396076543 Roy Kenji Yamada Emergency Medicine 5800 Forest Bend Pl., Ft. Worth, TX 76112 2010-01-27
1437488228 Rose A Miller Case Manager/Care Coordinator 7312 Laurie Drive, Ft. Worth, TX 76112 2009-12-08
1174760508 Advocate Angels Case Management 6829 Gary Lane, Fort Worth, TX 76112 2009-01-07
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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
1871124214 Better Health Pharmacy, LLC Pharmacy 8615 S Hulen St Ste 115, Fort Worth, TX 76123-2762 2020-02-03
1669027660 Eklingji Healthcare LLC Pharmacy 6249 Granbury Rd, Fort Worth, TX 76133-3401 2019-08-06
1790343465 Be Well Pharmacy LLC Pharmacy 8008 Camp Bowie West Blvd Ste 109, Fort Worth, TX 76116-6300 2019-05-29
1598323263 My Choice Pharmacy Pharmacy 8008 Camp Bowie West Blvd Ste 111, Fort Worth, TX 76116-6300 2019-05-29
1710451034 Brahmani Health Corp Pharmacy 2215 W Berry St, Fort Worth, TX 76110-2804 2019-01-20
1619448248 Nulife Pharmacy, Inc Pharmacy 14150 Trinity Blvd Ste 750, Fort Worth, TX 76155-2597 2018-12-07
1275001786 Vijyalaxmi Enterprise Inc Pharmacy 5750 W Vickery Blvd Ste 110, Fort Worth, TX 76107-7448 2018-11-02
1588140131 Alliance Pharmacy LLC Pharmacy 9601 N Beach St Ste 105, Fort Worth, TX 76244-6432 2018-07-17
1740784206 Cvs Pharmacy Inc Pharmacy 515 Houston St, Fort Worth, TX 76102 2018-03-20
1518466713 Hk Complete Health Inc Pharmacy 1900 W Everman Pkwy Ste 120, Fort Worth, TX 76134-4326 2018-02-03
Find all providers in FORT WORTH

Competitor

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City FORT WORTH
Zip Code 76112

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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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