NPI age
14 years
Enumerated 2012-04-25
● Active Type 2 · Organization
Kroger Texas Lp
Kroger Texas Lp is 1 of 5625 pharmacy organizations in Texas.
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Muennich
Manager Of Pharmacy Licensing
Last NPPES update
2025-09-19
Source: monthly bulk 2026-05
How this organization compares
Across 5625 active pharmacy providers in Texas.
NPI age
14 years
≈ at median (15 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 62% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-04Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
12600 N Beach St
Fort Worth, TX 762444200
Mailing address
Po Box 842772
Boston, MA 022842772
Authorized official
Allison Muennich
Manager Of Pharmacy Licensing
📞 5137621019
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Tyraeia Edwards, PHARM.D Pharmacist NPI 1265031231
- Sarah Gerges Pharmacist NPI 1740889625
- MacMoni Ouk, PHARMD, RPH. Pharmacist NPI 1174387799
Specialties
-
Pharmacy PrimaryA 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...
-
Durable Medical Equipment & Medical SuppliesA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 294706101 | |
| 01 | 2134879 | PK |
| 05 (TX) | 466817 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Kroger Pharmacy #034562
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.