KROGER TEXAS L P (NPI# 1285707711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285707711 |
| Entity Type | Organization |
| Organization Name | KROGER TEXAS L P |
| Other Organization Name | KROGER PHARMACY |
| Practice Address |
2619 Red Bluff Rd Pasadena TX 77506-5270 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 7134750939 |
| Practice Fax Number | 7134778514 |
| 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 |
20201 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2103168 | 01 | |
| TX | 464567 | 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 |
2619 RED BLUFF RD |
| City | PASADENA |
| State | TX |
| Zip Code | 77506-5270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962019372 | Jisha George | Pharmacist | 2619 Red Bluff Rd, Pasadena, TX 77506-5270 | 2020-09-29 |
| 1215541347 | Jesus Gonzalez Jr. | Pharmacist | 2619 Red Bluff Rd, Pasadena, TX 77506-5270 | 2020-09-05 |
| 1093329195 | Divya M Manavalan | Pharmacist | 2619 Red Bluff Rd, Pasadena, TX 77506-5270 | 2020-09-04 |
| 1154954006 | Kenneth W Abel | Pharmacist | 2619 Red Bluff Rd, Pasadena, TX 77506-5270 | 2020-02-19 |
| 1306477526 | Ava Deyon | Pharmacist | 2619 Red Bluff Rd, Pasadena, TX 77506-5270 | 2020-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699315390 | Burke Childrens Pllc | Pediatrics | 900 West Jackson Ave, Suite 170, Pasadena, TX 77506 | 2020-01-10 |
| 1285276741 | Concepcion Salamanca | Technician | 507 Live Oak St., Pasadena, TX 77506 | 2019-10-16 |
| 1194217919 | Thanh Ngoc Phan | Pharmacist | 927 E Shaw, Pasadena, TX 77506 | 2018-06-06 |
| 1073022091 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 400 Park Ln, Suite M, Pasadena, TX 77506 | 2017-09-21 |
| 1386080844 | Effie Juanita Wilkerson | Pharmacist | 927 East Shaw Rd, Pasadena, TX 77506 | 2013-05-10 |
| 1083988307 | Benjamin F Contreras | Dentist | 1027 Main Street, Suite A, Pasadena, TX 77506 | 2012-03-05 |
| 1386950699 | Yen Hoang Nguyen | Pharmacist | 927 East Shaw Road, Pasadena, TX 77506 | 2010-08-24 |
| 1104065135 | Rashmi Rode | Family Medicine | 927 E Shaw St, Pasadena, TX 77506 | 2009-02-15 |
| 1265687974 | Preethi Vijay Nambi | Internal Medicine | 927, E Shaw Road, Pasadena, TX 77506 | 2008-11-21 |
| 1841364676 | Dino J. Demetriou | Chiropractor | 1120 Pasadena Blvd, Pasadena, TX 77506 | 2006-11-20 |
| Find all providers in zip 77506 | ||||
| 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 |
|---|---|---|---|---|
| 1487296919 | Lax Solutions LLC | Pharmacy | 3527 Shaver St # 105, Pasadena, TX 77504-1307 | 2019-10-16 |
| 1962964098 | Total Care Rx Pharmacy, LLC | Pharmacy | 4002 Burke Rd Ste 500, Pasadena, TX 77504-3451 | 2019-04-06 |
| 1073002127 | Megan International, Inc | Pharmacy | 1017 Fairmont Pkwy, Pasadena, TX 77504-2903 | 2018-05-03 |
| 1619465192 | Morgan Pharmacy | Pharmacy | 3316 Shaver St Ste 6, Pasadena, TX 77504 | 2018-04-30 |
| 1861914517 | Care Rrx Pharmacy | Pharmacy | 4102 Woodlawn Ave Ste 120, Pasadena, TX 77504-1948 | 2017-07-14 |
| 1124573183 | Angels Pharmacy | Pharmacy | 3623 Red Bluff Rd, Pasadena, TX 77503-3345 | 2016-08-19 |
| 1568821833 | Kumarx Pharmacy Apc | Pharmacy | 155 S Delacey Ave, #1000, Pasadena, CA 91105 | 2016-02-16 |
| 1184022188 | Mintwood Pharmacueticals, Inc. | Pharmacy | 455 N Lake Ave, Pasadena, CA 91101 | 2014-12-08 |
| 1295145605 | Bayshore Health Mart, Inc. | Pharmacy | 3315 Burke Rd Ste 100, Pasadena, TX 77504-1873 | 2014-05-07 |
| 1528498821 | Zna LLC | Pharmacy | 354 Mountain Rd Ste E, Pasadena, MD 21122-1158 | 2013-11-22 |
| Find all providers in PASADENA | ||||
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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.