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KROGER TEXAS L P
NPI 1164841268
Pharmacy - Community/Retail Pharmacy in Cypress, TX

Active since April 16, 2014
9703 BARKER CYPRESS RD, CYPRESS, TX 77433(281) 746-3645(281) 746-3647 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 24, 2025, May 19, 2016 (2 updates tracked since 2016).

About Kroger Texas L P NPPES

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

KROGER TEXAS L P (NPI 1164841268), doing business as Kroger Pharmacy #115, is a healthcare organization registered as a community/retail pharmacy in Cypress, Texas and active in the NPI registry since April 2014. The organization lists Victoria Bone, Licensing Asp, as its authorized official.

NPPES Registry Identity

NPI1164841268
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER TEXAS L P
Location Address9703 BARKER CYPRESS RDCypress, TX 77433-1214
Mailing AddressPo Box 830242Philadelphia, PA 19182-0352 · (513) 762-1019 · Fax (513) 762-1092
Phone(281) 746-3645
Fax(281) 746-3647
Organization SubpartNo
Authorized OfficialVictoria BoneLicensing Asp · (513) 587-5303
Enumeration DateApril 16, 2014
Last NPPES UpdateJune 24, 20252 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1164841268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TX · 29335
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
9703 BARKER CYPRESS RD, Cypress, TX 77433
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Other Names 1

Doing Business AsKroger Pharmacy #115

Other Identifiers 2

Medicaid467035TX
Other2145305Pk

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.
187 services183 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.
181 services177 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.
30 services30 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.
30 services30 patients

Medical Equipment Supplier Medicare DMEPOS 13

Medicare supplier enrollment and the product categories Kroger Pharmacy #115 carries, from the Medicare DMEPOS supplier directory.

Kroger Pharmacy #115

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

Accepts Medicare assignment

Kroger Pharmacy #115 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)20631509
Medicare Participant SinceDecember 31, 1999
Supplier Location9703 Barker Cypress RdCypress, TX 77433
Phone(281) 746-3645
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
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
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 3

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

ANNIE KIM LE
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9703 BARKER CYPRESS RD
CYPRESS, TX 77433
Harris County (281) 746-3645
THUY DINH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9703 BARKER CYPRESS RD
CYPRESS, TX 77433
Harris County (281) 746-3645
ANGELITA BALLA
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9703 BARKER CYPRESS RD
CYPRESS, TX 77433
Harris County (281) 746-3645

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 L P's NPI number?

The NPI number for Kroger Texas L P is 1164841268. It was assigned to this organization in the NPPES registry on April 16, 2014. The provider is doing business as Kroger Pharmacy #115.

Where is Kroger Texas L P located?

Kroger Texas L P is located at 9703 Barker Cypress Rd, Cypress, TX 77433. The listed phone number is (281) 746-3645.

What is Kroger Texas L P's specialty?

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

Does Kroger Texas L P accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Kroger Pharmacy #115 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Kroger Texas L P 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 50 other insurers list Kroger Texas L P 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 L P was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.