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KROGER TEXAS LIMITED PARTNERSHIP NPI 1942373469


NPI Information

NPI: 1942373469
Provider Name: KROGER TEXAS LIMITED PARTNERSHIP

Doing Business As: KROGER PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
6479 CAMP BOWIE BLVD
FORT WORTH, TX
ZIP 76116
Phone: (817) 738-9100
Get Directions

KROGER TEXAS LIMITED PARTNERSHIP is a pharmacy in Fort Worth, TX. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. KROGER TEXAS LIMITED PARTNERSHIP NPI is 1942373469. The provider is registered as an organization entity type.
The provider Is Doing Business As Kroger Pharmacy.

The provider's business location address is:

6479 CAMP BOWIE BLVD
FORT WORTH, TX
ZIP 76116-356
Phone: (817) 738-9100
Fax: (817) 738-1957

The provider's authorized official is Byron Cooley .
The authorized official title is Pharmacy Merchandiser and has the following contact phone number (713) 507-6276.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy22260TEXASYes
23336C0003XPharmacyCommunity/Retail PharmacyX
3332B00000XDurable Medical Equipment & Medical SuppliesX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1465260MEDICAIDTEXAS
24524042OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.