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KROGER TEXAS L P NPI 1720151251


NPI Information

NPI: 1720151251
Provider Name: KROGER TEXAS L P

Doing Business As: KROGER PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 45D1080562

Address:
1310 CLARKSVILLE ST
PARIS, TX
ZIP 75460
Phone: (903) 785-1922
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KROGER TEXAS L P is a community/retail pharmacy pharmacy in Paris, TX. The provider is 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. KROGER TEXAS L P NPI is 1720151251. The provider is registered as an organization entity type.
The provider Is Doing Business As Kroger Pharmacy.

The provider's business location address is:

1310 CLARKSVILLE ST
PARIS, TX
ZIP 75460-033
Phone: (903) 785-1922
Fax: (903) 784-5456

The provider's authorized official is Allison Muennich .
The authorized official title is Manager Of Pharmacy Licensing and has the following contact phone number (513) 762-1019.

The CLIA number assigned to this NPI record is 45D1080562 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 5/16/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
33336C0003XPharmacyCommunity/Retail Pharmacy20282TEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200429410AMEDICAIDOKLAHOMA
22103182OTHERPK
3PH0425MEDICARE PIN
41307140007MEDICARE NSC
5P00170652MEDICARE PIN
6464654MEDICAIDTEXAS

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: 5/5/2024

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.