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KROGER TEXAS LP
NPI 1043660319
Pharmacy - Community/Retail Pharmacy in Rockwall, TX

Active since June 17, 2016
1950 N GOLIAD ST, ROCKWALL, TX 75087(469) 651-6027(469) 651-6030 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2025, Jul 19, 2018, Apr 23, 2018 and 5 more (8 updates tracked since 2016).

About Kroger Texas Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KROGER TEXAS LP (NPI 1043660319), doing business as Kroger Pharmacy #574, is a healthcare organization registered as a community/retail pharmacy in Rockwall, Texas and active in the NPI registry since June 2016. The organization lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1043660319
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER TEXAS LP
Location Address1950 N GOLIAD STRockwall, TX 75087-7206
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019
Phone(469) 651-6027
Fax(469) 651-6030
Organization SubpartNo
Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1263
Enumeration DateJune 17, 2016
Last NPPES UpdateSeptember 19, 20258 updates tracked since enumeration
✔ NPI 1043660319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TX · 30989
Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
1950 N GOLIAD ST, Rockwall, TX 75087
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Other Names 1

Doing Business AsKroger Pharmacy #574

Other Identifiers 2

Medicaid471002TX
Other2160671Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
252 services251 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
243 services242 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
28 services28 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
28 services28 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Kroger Pharmacy #574 carries, from the Medicare DMEPOS supplier directory.

Kroger Pharmacy #574

DMEPOS supplier · Rockwall, TXOperated by Kroger Texas L P
✔

Accepts Medicare assignment

Kroger Pharmacy #574 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20631533
Medicare Participant SinceDecember 31, 1999
Supplier Location1950 N Goliad StRockwall, TX 75087
Phone(469) 651-6027
Supplier Specialties
Pharmacy

Medicare Product Categories

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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIYA PAULOSE
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1950 N GOLIAD ST
FATE, TX 75087
Rockwall County (469) 651-6027
NICHOLAS PEEK
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1950 N GOLIAD ST
ROCKWALL, TX 75087
Rockwall County (469) 651-6027
DR. STACIE SACKY DACUS PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1950 N GOLIAD ST
ROCKWALL, TX 75087
Rockwall County (469) 651-6027
DR. LEAH DONOVAN PHARMD
Pharmacist
1950 N GOLIAD ST
ROCKWALL, TX 75087
Rockwall County (469) 651-6026
TEJAL RANA PHARMD
Pharmacist
1950 N GOLIAD ST
ROCKWALL, TX 75087
Rockwall County (469) 651-6027

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kroger Texas LP's NPI number?

The NPI number for Kroger Texas LP is 1043660319. It was assigned to this organization in the NPPES registry on June 17, 2016. The provider is doing business as Kroger Pharmacy #574.

Where is Kroger Texas LP located?

Kroger Texas LP is located at 1950 N Goliad St, Rockwall, TX 75087. The listed phone number is (469) 651-6027.

What is Kroger Texas LP's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Kroger Texas LP accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Kroger Pharmacy #574 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Kroger Texas LP accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 48 other insurers list Kroger Texas LP as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kroger Texas LP was last updated on September 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.