1. Home
  2. Directory
  3. Texas
  4. Fort Worth
  5. Pharmacy
  6. NPI Profile

KROGER PHARMACY
NPI 1982777504
Pharmacy - Community/Retail Pharmacy in Fort Worth, TX

Active since November 15, 2006CLIA Certified · 6 labs
1050 BRIDGEWOOD DR, FORT WORTH, TX 76112(817) 446-6673(817) 446-4943 Get Directions Write a Review

NPPES record last updated: September 7, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kroger Pharmacy NPPES

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

KROGER PHARMACY (NPI 1982777504) is a healthcare organization registered as a community/retail pharmacy in Fort Worth, Texas and active in the NPI registry since November 2006. The organization holds 6 active CLIA laboratory certificates and lists Karla Langworthy, Pharmacy Licensing Manager, as its authorized official.

NPPES Registry Identity

NPI1982777504
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER TEXAS L P
Location Address1050 BRIDGEWOOD DRFort Worth, TX 76112-0802
Mailing Address19245 David Memorial DrShenandoah, TX 77385-8778 · (713) 507-6276 · Fax (936) 442-6704
Phone(817) 446-6673
Fax(817) 446-4943
Organization SubpartNo
Authorized OfficialKarla LangworthyPharmacy Licensing Manager · (513) 698-1878
Enumeration DateNovember 15, 2006
Last NPPES UpdateSeptember 7, 2010
✔ NPI 1982777504 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 · 20314
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
1050 BRIDGEWOOD DR, Fort Worth, TX 76112
Open in Google Maps ↗

Other Names 1

Doing Business AsKroger Pharmacy

Other Identifiers 5

Other4596144Ncpdp Provider Identification Number
Medicare PINP00170648
Medicare PINPH0430
Medicare NSC1307140055
Medicaid464651TX

CLIA Laboratory Certificates CMS CLIA 6

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2008528

Kroger Pharmacy 520 · Fort Worth, TX
Active · expires Jun 10, 2028
CLIA Number45D2008528
Laboratory TypePharmacy
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorJeff Loesch
Laboratory Phone(817) 566-7861
Laboratory LocationKroger Pharmacy 5203120 S University, Fort Worth, TX 76109
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2330231

Kroger Pharmacy #035-541 · Fort Worth, TX
Active · expires Sep 11, 2027
CLIA Number45D2330231
Laboratory TypePharmacy
Certificate Effective DateSeptember 12, 2025
Certificate Expiration DateSeptember 11, 2027
Laboratory DirectorJeff Loesch
Laboratory Phone(817) 484-5074
Laboratory LocationKroger Pharmacy #035-541113 E Bonds Ranch Rd, Fort Worth, TX 76131
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2052071

Kroger Pharmacy #562 Attn: Pharmacist In Charge · Fort Worth, TX
Active · expires Jan 3, 2027
CLIA Number45D2052071
Laboratory TypePharmacy
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorJeff Loesch
Laboratory Phone(817) 562-3901
Laboratory LocationKroger Pharmacy #562 Attn: Pharmacist In Charge12600 North Beach Street, Fort Worth, TX 76244
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2052100

Kroger Pharmacy #542 Attn Pharmicist In Charge · Fort Worth, TX
Active · expires Jan 3, 2027
CLIA Number45D2052100
Laboratory TypePharmacy
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorJeff Loesch
Laboratory Phone(817) 750-2041
Laboratory LocationKroger Pharmacy #542 Attn Pharmicist In Charge3300 Texas Sage Trail, Fort Worth, TX 76177
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2120940

Kroger Pharmacy #576 · Fort Worth, TX
Active · expires Oct 26, 2026
CLIA Number45D2120940
Laboratory TypePharmacy
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorJeff Loesch
Laboratory Phone(281) 670-2058
Laboratory LocationKroger Pharmacy #5764750 W Bailey Boswell Road, Fort Worth, TX 76179
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2119321

Kroger Pharmacy #530 · Fort Worth, TX
Active · expires Sep 22, 2026
CLIA Number45D2119321
Laboratory TypePharmacy
Certificate Effective DateSeptember 23, 2024
Certificate Expiration DateSeptember 22, 2026
Laboratory DirectorJeff Loesch
Laboratory Phone(214) 597-4332
Laboratory LocationKroger Pharmacy #5301653 Basswood Blvd, Fort Worth, TX 76131
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 1982777504. It was assigned to this organization in the NPPES registry on November 15, 2006. The provider is doing business as Kroger Pharmacy.

Where is Kroger Texas L P located?

Kroger Texas L P is located at 1050 Bridgewood Dr, Fort Worth, TX 76112. The listed phone number is (817) 446-6673.

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 hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Kroger Texas L P was last updated on September 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.