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KROGER SPECIALTY INFUSION TX LLC NPI 1912217399


NPI Information

NPI: 1912217399
Provider Name: KROGER SPECIALTY INFUSION TX, LLC

Doing Business As: KROGER SPECIALTY INFUSION TX

Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
1748 N GREENVILLE AVE
RICHARDSON, TX
ZIP 75081
Phone: (855) 742-7690
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KROGER SPECIALTY INFUSION TX, LLC is a home infusion therapy pharmacy pharmacy in Richardson, TX. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. KROGER SPECIALTY INFUSION TX, LLC NPI is 1912217399. The provider is registered as an organization entity type.
The provider Is Doing Business As Kroger Specialty Infusion Tx.

The provider's business location address is:

1748 N GREENVILLE AVE
RICHARDSON, TX
ZIP 75081
Phone: (855) 742-7690
Fax: (855) 742-7689

The provider's authorized official is Debra J Cole .
The authorized official title is Vice President and has the following contact phone number (855) 733-3126.

The enumeration date for this NPI number is 10/19/2010 and was last updated on 9/30/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336S0011XPharmacySpecialty PharmacyNo
2333600000XPharmacyNo
33336C0004XPharmacyCompounding PharmacyNo
43336H0001XPharmacyHome Infusion Therapy Pharmacy27201TEXASYes

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
117125324MEDICAIDNEW MEXICO
2217545703OTHERTEXASDME / TPI
3200474300AOTHEROKLAHOMADME
4321000MEDICAIDTEXAS
57100683220MEDICAIDKENTUCKY
6200474300BMEDICAIDOKLAHOMA
79000154018MEDICAIDCOLORADO

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

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