KROGER TEXAS L P (NPI# 1205909736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205909736 |
| Entity Type | Organization |
| Organization Name | KROGER TEXAS L P |
| Other Organization Name | KROGER PHARMACY |
| Practice Address |
4017 14th St Plano TX 75074-7113 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 9724247529 |
| Practice Fax Number | 9724220278 |
| 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 |
23108 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 465603 | 05 | |
| PK | 2097031 | 01 |
| 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 |
4017 14TH ST |
| City | PLANO |
| State | TX |
| Zip Code | 75074-7113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001842 | Reena Kurian | Pharmacist | 4017 14th St, Plano, TX 75074-7113 | 2020-10-21 |
| 1316546617 | Courtney Tran | Pharmacist | 4017 14th St, Plano, TX 75074-7113 | 2020-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003433764 | All Meds Rx | Pharmacy | 2520 Avenue K, Suite 600, Suite 600, Plano, TX 75074 | 2020-06-29 |
| 1457985582 | Neighborhood Portable X-ray Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6901 Avenue K Suite 109, Plano, TX 75074 | 2020-02-27 |
| 1063044113 | Q Day Walk In Clinic and Spa, LLC | Clinic/Center | 3560 East Park Blvd., Plano, TX 75074 | 2020-02-06 |
| 1891326765 | Kelly Joe Stanley | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6901 Avenue K, 109, Plano, TX 75074 | 2020-01-30 |
| 1568016137 | Virtex Assist, Pllc | Physician Assistant | 101 E Park Blvd Suite 600, Plano, TX 75074 | 2019-07-31 |
| 1154804128 | Norte Service Providers LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2917 Duchess Trail, Plano, TX 75074 | 2018-09-14 |
| 1386124428 | Jakayla Nekelle Price | Occupational Therapist | 3612 Kite Landing Ln., Plano, TX 75074 | 2018-08-17 |
| 1568948834 | Sarah Lindsey Binion | Counselor | 101 East Park Blvd., Suite 600, Plano, TX 75074 | 2018-07-19 |
| 1659865327 | Tim Ford | Technician, Other | 6829 Ave K, Suite 105, Plano, TX 75074 | 2018-06-18 |
| 1043708019 | Oak Point Surgical Suites LLC | Clinic/Center | 2201 K Ave Ste B-100, Plano, TX 75074 | 2018-04-25 |
| Find all providers in zip 75074 | ||||
| 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 |
|---|---|---|---|---|
| 1487264461 | Woori Pharmacy LLC | Pharmacy | 3320 K Ave Ste M103, Plano, TX 75074-2301 | 2020-08-05 |
| 1003433764 | All Meds Rx | Pharmacy | 2520 Avenue K, Suite 600, Suite 600, Plano, TX 75074 | 2020-06-29 |
| 1285257006 | Mn Care, LLC | Pharmacy | 4152 W Spring Creek Pkwy Ste 160, Plano, TX 75024-5315 | 2020-05-27 |
| 1295357242 | Best Choice Rx Pharmacy, LLC | Pharmacy | 2235d W 15th St, Plano, TX 75075-7435 | 2020-05-13 |
| 1245864545 | Relief Partners LLC | Pharmacy | 3447 Renner Rd Unit 110, Plano, TX 75074-0051 | 2020-02-25 |
| 1205470085 | Northstar Pharmacy LLC | Pharmacy | 915 W Parker Rd Ste 321b, Plano, TX 75023-7136 | 2019-11-04 |
| 1083268262 | Sh Rxm Jv, LLC | Pharmacy | 8277 Belleview Dr Ste 250, Plano, TX 75024-0359 | 2019-07-26 |
| 1033671771 | Cvs Pharmacy Inc. | Pharmacy | 6125 Legacy Drive, Plano, TX 75024 | 2019-04-02 |
| 1073091799 | Bhaumik Diversified LLC | Pharmacy | 3033 W Parker Rd Ste 100, Plano, TX 75023-8000 | 2018-08-03 |
| 1881109734 | Ndc Pharmacy | Pharmacy | 4666 Mcdermott Rd Ste 200, Plano, TX 75024-7772 | 2017-12-13 |
| Find all providers in PLANO | ||||
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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.