Kroger Pharmacy

LBN: Kroger Texas L P
Kroger Pharmacy is an health care organization with primary practice located at 3845 Phelan Blvd , Beaumont TX 77707-2243. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kroger Texas L P can be contacted via phone (409) 833-4437, or through Muennich, Allison via phone (513) 762-1019.

Contact Information

Primary practice address
3845 Phelan Blvd Beaumont TX 77707-2243
Phone: (409) 833-4437
Fax: (409) 833-5184
Website:
Map and Directions
Authorized official contact:
Name: Muennich, Allison
Phone: (513) 762-1019

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 20197 Texas

Profile Details

NPI number 1275606709
LBN Legal business name Kroger Texas L P
DBA Doing business as Kroger Pharmacy
Authorized official Muennich, Allison
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated May 16th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275606709 NPPES
Other 2103293 PK
MEDICAID 464562 PK

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