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KROGER PHARMACY #481
NPI 1508239856
Pharmacy - Community/Retail Pharmacy in Plano, TX

Active since November 09, 2015
4836 W PARK BLVD, PLANO, TX 75093(972) 543-7923(972) 543-7925 Get Directions Write a Review

NPPES record last updated: April 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 24, 2017, May 19, 2016, Feb 24, 2016 and 1 more (4 updates tracked since 2015).

About Kroger Pharmacy #481 NPPES

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

KROGER PHARMACY #481 (NPI 1508239856) is a healthcare organization registered as a community/retail pharmacy in Plano, Texas and active in the NPI registry since November 2015. The organization lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1508239856
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER TEXAS LP
Location Address4836 W PARK BLVDPlano, TX 75093-2330
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(972) 543-7923
Fax(972) 543-7925
Organization SubpartNo
Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateNovember 9, 2015
Last NPPES UpdateApril 24, 20174 updates tracked since enumeration
✔ NPI 1508239856 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 · 30544
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
4836 W PARK BLVD, Plano, TX 75093
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Other Names 1

Doing Business AsKroger Pharmacy #481

Other Identifiers 4

Medicaid469484TX
Other2155506Pk
Medicare PINPH0425
Medicare NSC1307140255

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Kroger Pharmacy 540 carries, from the Medicare DMEPOS supplier directory.

Kroger Pharmacy 540

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

Accepts Medicare assignment

Kroger Pharmacy 540 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)20631707
Medicare Participant SinceDecember 31, 1999
Supplier Location3305 N Dallas PkwyPlano, TX 75093
Phone(972) 608-4698
Supplier Specialties
Pharmacy Grocery Store

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.

GEORGE FISHER
Pharmacist
4836 W PARK BLVD
PLANO, TX 75093
Collin County (972) 964-8287
PRISCILLA WONG
Pharmacist
4836 W PARK BLVD
PLANO, TX 75093
Collin County (972) 473-3311
RONALD JANAK
Pharmacist
4836 W PARK BLVD
PLANO, TX 75093
Collin County (972) 964-8287
RLS SUPERMARKETS LLC
Pharmacy (Community/Retail Pharmacy)
4836 W PARK BLVD
PLANO, TX 75093
Collin County (972) 964-8287

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 1508239856. It was assigned to this organization in the NPPES registry on November 9, 2015. The provider is doing business as Kroger Pharmacy #481.

Where is Kroger Texas LP located?

Kroger Texas LP is located at 4836 W Park Blvd, Plano, TX 75093. The listed phone number is (972) 543-7923.

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 540 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Kroger Texas LP was last updated on April 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.