Organization
KROGER TEXAS L P
Active
Other names
KROGER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA LANGWORTHY (PHARMACY LICENSING MANAGER)
(513) 698-1878
Entity
Organization
Contact information
Practice address
2400 PRESTON RD, PLANO, TX 75093-2321
(972) 596-5375
(972) 985-0522
Mailing address
19245 DAVID MEMORIAL DR, SHENANDOAH, TX 77385-8778
(713) 507-6276
(936) 442-6704
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
20250
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4580393
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
464597
—
TX
Enumeration date
11/15/2006
Last updated
09/07/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us