KROGER TEXAS LP (NPI# 1508239856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508239856 |
| Entity Type | Organization |
| Organization Name | KROGER TEXAS LP |
| Other Organization Name | KROGER PHARMACY #481 |
| Practice Address |
4836 W Park Blvd Plano TX 75093-2330 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 9725437923 |
| Practice Fax Number | 9725437925 |
| Mailing Telephone | 5137621019 |
| Mailing Fax Number | 5137621092 |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2017-04-24 |
| 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 | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
30544 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2155506 | 01 | |
| TX | 469484 | 05 |
| Other Name | Type Code |
|---|---|
| Kroger Pharmacy #481 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649753476 | Kroger Texas Lp | Durable Medical Equipment & Medical Supplies | 1801 N Lake Forest Dr, Mckinney, TX 75071-7602 | 2018-09-07 |
| 1396244000 | Kroger Texas Lp | Pharmacy | 5101 W Sublett Rd, Arlington, TX 76017-1178 | 2018-02-08 |
| 1558897157 | Kroger Texas Lp | Durable Medical Equipment & Medical Supplies | 3731 Riley Fuzzel Rd, Spring, TX 77386-4619 | 2017-05-03 |
| 1528508439 | Kroger Texas Lp | Pharmacy | 9806 Gaston Rd, Katy, TX 77494-7648 | 2017-02-27 |
| 1770023798 | Kroger Texas Lp | Durable Medical Equipment & Medical Supplies | 4650 W University Dr, Prosper, TX 75078-9091 | 2017-02-24 |
| 1275081960 | Kroger Texas Lp | Durable Medical Equipment & Medical Supplies | 4750 W Bailey Boswell Rd, Fort Worth, TX 76179-4321 | 2016-09-12 |
| 1164977278 | Kroger Texas Lp | Durable Medical Equipment & Medical Supplies | 1653 Basswood Blvd, Saginaw, TX 76131-4968 | 2016-08-18 |
| 1043660319 | Kroger Texas Lp | Pharmacy | 1950 N Goliad St, Rockwall, TX 75087-7206 | 2016-06-17 |
| 1922457142 | Kroger Texas Lp | Durable Medical Equipment & Medical Supplies | 2700 W Grand Pkwy N, Katy, TX 77449-1912 | 2016-06-08 |
| 1760844401 | Kroger Texas Lp | Durable Medical Equipment & Medical Supplies | 14221 E Sam Houston Pkwy N, Houston, TX 77044-6291 | 2016-03-22 |
| Street Address |
4836 W PARK BLVD |
| City | PLANO |
| State | TX |
| Zip Code | 75093-2330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922037993 | Rls Supermarkets LLC | Pharmacy | 4836 W Park Blvd, Plano, TX 75093-2330 | 2006-07-02 |
| 1497069066 | Priscilla Wong | Pharmacist | 4836 W Park Blvd, Plano, TX 75093-2330 | 2010-08-05 |
| 1053624445 | William Mcdonald | Pharmacist | 4836 W Park Blvd, Plano, TX 75093-2330 | 2010-07-14 |
| 1245543636 | George Fisher | Pharmacist | 4836 W Park Blvd, Plano, TX 75093-2330 | 2010-07-14 |
| 1881907277 | Ronald Janak | Pharmacist | 4836 W Park Blvd, Plano, TX 75093-2330 | 2010-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| 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.