MEDICARE: KROGER TEXAS L P

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	23642	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2091006	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699848119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KROGER TEXAS L P

Provider Business Mailing Address
First Line	:	PO BOX 842772
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02284-2772
Country	:	US
Telephone Number	:	513-762-1019
Fax Number	:	513-762-1092

Provider Business Practice Location Address
First Line	:	1950 EL DORADO BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-3621
Country	:	US
Telephone Number	:	281-480-7092
Fax Number	:	281-480-7452

Authorized Official
Title or Position	:	MANAGER OF PHARMACY LICENSING
Name	:	ALLISON MUENNICH
Credential	:
Telephone Number	:	513-762-1019

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	05/16/2016

Similar Medicare Providers

1861491268 — DR. ALBERT B. BOWMAN MD
Practice Location Address:

1930 EL DORADO BLVD
HOUSTON, TX
77062-3621

Practice Phone: 281-488-0082
Practice Fax:

1295910628 — BOWMAN MEDICAL GROUP, PLLC
Practice Location Address:

1930 EL DORADO BLVD
HOUSTON, TX
77062-3621

Practice Phone: 281-488-0082
Practice Fax: 281-488-4761

1437781358 — AMANDA CAMPBELL PHARMD
Practice Location Address:

1950 EL DORADO BLVD
HOUSTON, TX
77062-3621

Practice Phone: 281-480-7092
Practice Fax:

1255336186 — DR. JUAN C ECHEVERRI DDS
Practice Location Address:

7844 LONG POINT RD
HOUSTON, TX
77055-3621

Practice Phone: 713-956-8767
Practice Fax: 713-956-1952

1134127517 — AIRSENSE, LLC
Practice Location Address:

16507 HEDGECROFT DR STE 106
HOUSTON, TX
77060-3621

Practice Phone: 936-582-1378
Practice Fax: 936-582-1382

1023006723 — KAUFMAN HEALTHCARE CENTER
Practice Location Address:

3001 S HOUSTON ST
KAUFMAN, TX
75142-3621

Practice Phone: 972-932-2118
Practice Fax: 972-932-3219

Directions to “KROGER TEXAS L P ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.