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KROGER TEXAS LP
NPI 1396244000
Pharmacy - Community/Retail Pharmacy in Arlington, TX

Active since February 08, 2018
5101 W SUBLETT RD, ARLINGTON, TX 76017(513) 762-1019(513) 762-1092 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2025, Jul 19, 2018, Apr 19, 2018 (3 updates tracked since 2018).

About Kroger Texas Lp NPPES

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

KROGER TEXAS LP (NPI 1396244000), doing business as Kroger Pharmacy #592, is a healthcare organization registered as a community/retail pharmacy in Arlington, Texas and active in the NPI registry since February 2018. The organization lists Allison Bredestege, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1396244000
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER TEXAS LP
Location Address5101 W SUBLETT RDArlington, TX 76017-1178
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019
Phone(513) 762-1019
Fax(513) 762-1092
Organization SubpartNo
Authorized OfficialAllison BredestegeManager Of Pharmacy Licensing · (513) 762-1263
Enumeration DateFebruary 8, 2018
Last NPPES UpdateSeptember 19, 20253 updates tracked since enumeration
✔ NPI 1396244000 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 · 31974
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
5101 W SUBLETT RD, Arlington, TX 76017
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Other Names 1

Doing Business AsKroger Pharmacy #592

Other Identifiers 1

Other2176216Pk

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.
146 services146 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.
140 services140 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.
42 services42 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.
41 services41 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Kroger Pharmacy #592 carries, from the Medicare DMEPOS supplier directory.

Kroger Pharmacy #592

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

Accepts Medicare assignment

Kroger Pharmacy #592 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)20631653
Medicare Participant SinceDecember 31, 1999
Supplier Location5101 W Sublett RdArlington, TX 76017
Phone(817) 516-3762
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 4

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

STEPHANIE MOH PHARM. D
Pharmacist
5101 W SUBLETT RD
ARLINGTON, TX 76017
Tarrant County (817) 516-3762
DR. CHIEU T NGUYEN PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5101 W SUBLETT RD
ARLINGTON, TX 76017
Tarrant County (817) 516-3762
STACEY ATTAWAY LAUBER RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5101 W SUBLETT RD
ARLINGTON, TX 76017
Tarrant County (817) 516-5763
DR. BICH TRAM THI NGUYEN PHARMD
Pharmacist
5101 W SUBLETT RD
ARLINGTON, TX 76017
Tarrant County (817) 516-3763

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 1396244000. It was assigned to this organization in the NPPES registry on February 8, 2018. The provider is doing business as Kroger Pharmacy #592.

Where is Kroger Texas LP located?

Kroger Texas LP is located at 5101 W Sublett Rd, Arlington, TX 76017. The listed phone number is (513) 762-1019.

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 #592 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.