KROGER TEXAS L P NPI 1013080548
Pharmacy - Community/Retail Pharmacy in Mesquite, TX

About KROGER TEXAS L P

Kroger Texas L P is a provider established in Mesquite, Texas operating as a Pharmacy with a focus in community/retail pharmacy . The NPI number of Kroger Texas L P is 1013080548 and was assigned on November 2006. The practitioner's primary taxonomy code is 3336C0003X with license number 20183 (TX). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Kroger Pharmacy. The authorized official of this NPI record is Allison Muennich (Manager Of Pharmacy Licensing)

NPI
1013080548
Provider NameKROGER TEXAS L P
Location Address525 N GALLOWAY AVE MESQUITE, TX 75149
Location Phone(972) 288-6403
Mailing AddressPO BOX 842772 BOSTON, MA 02284
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameKROGER PHARMACY
Other Name TypeDoing Business As (3)
Enumeration Date11-15-2006
Last Update Date05-16-2016



Kroger Texas L P is a medicare supplier with PTAN 1307140037 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Immunosuppressive Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Commodes, Urinals, Bedpans or Blood Glucose Monitors/Supplies (Non-Mail Order) or Canes and/or Crutches or Walkers or Ostomy Supplies or Urological Supplies or Enteral Nutrients or Enteral Equipment and/or Supplies or Nebulizer Equipment and/or Supplies or Surgical Dressings.

The CLIA number of Kroger Texas L P is 45D2001551 registered as a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Kroger Texas L P to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.20183
License StateTX
Taxonomy DescriptionA 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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

KROGER TEXAS L P
525 N GALLOWAY AVE
MESQUITE, TX
ZIP 75149
Phone: (972) 288-6403
Fax: (972) 289-9308

Get Directions


Mailing Address

KROGER TEXAS L P
PO BOX 842772
BOSTON, MA
ZIP 02284
Phone: (513) 762-1019
Fax: (513) 762-1092


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Name ALLISON MUENNICH
Authorized Official TitleMANAGER OF PHARMACY LICENSING
Authorized Official Phone(513) 762-1019

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN1307140037
Accepts Medicare AssignmentYES
Specialities ListPharmacy, Grocery Store.
Supplies List
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Enteral Nutrients - Enteral formula
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
Competitive BiddingNO

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1013080548 is:

CLIA Number45D2001551
Facility TypePHARMACY
Certificate TypeCertificate of Waiver

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1332B00000XSuppliersDurable Medical Equipment & Medical SuppliesNo

Taxonomy Description: a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

2333600000XSuppliersPharmacyNo

Taxonomy Description: 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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
464526MEDICAID (05)TX
1307140037MEDICARE NSC (07)
P00170655MEDICARE PIN (08)
2102462OTHER (01)PK
PH0426MEDICARE PIN (08)

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013080548
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202308058
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 0 + 5 + 8 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1013080548 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760762009HAPPY TEETH DENTAL CENTERS OF MESQUITE PC
Organization
Dentist (General Practice)525 N GALLOWAY AVE SUITE 507
MESQUITE, TX 75149
(972) 285-2600
1427685098 SHANNON ELIZABETH ANDERSON PHARMD
Individual
Pharmacist525 N GALLOWAY AVE
MESQUITE, TX 75149
(972) 288-6403
1134749948 ANTONIETTE PONEWASH
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)525 N GALLOWAY AVE
MESQUITE, TX 75149
(972) 289-1300

Frequently Asked Questions

What is KROGER TEXAS L P NPI number?

The NPI number assigned to KROGER TEXAS L P is 1013080548, registered as an "organization" on November 15, 2006

Where is KROGER TEXAS L P located?

The provider is located at 525 N Galloway Ave Mesquite, Tx 75149 and the phone number is (972) 288-6403

What kind of medical provider is KROGER TEXAS L P?

This medical organization specializes in Pharmacy with a focus in Community/Retail Pharmacy

What insurance does KROGER TEXAS L P accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

What is KROGER TEXAS L P CLIA number?

The provider's CLIA number is 45D2001551 for a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

How do I update my NPI information?

The NPI record of KROGER TEXAS L P was last updated on November 15, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]