NPI age
10 years
Enumerated 2015-07-08
● Active Type 2 · Organization
Kroger Texas L P
Kroger Texas L P 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
10 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 62% of peers with subspecialties
NPI lifetime · 2015 → 2026
2015-07Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
1631 Sw Wilshire Blvd
Burleson, TX 760286305
Mailing address
Po Box 842772
Boston, MA 022842772
Authorized official
Allison Muennich
Manager Of Pharmacy Licensing
📞 5137621019
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Jeffrey Fabiano Pharmacist NPI 1801427083
- Mohammad Jafar, PHARMD Pharmacist NPI 1811854615
- Quinn Nguyen, PHARMD Pharmacist NPI 1649949066
- Keithan Rayford, PHARMD Pharmacist NPI 1942809793
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) | 467214 | |
| 01 | 2153016 | PK |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Kroger Pharmacy #591
Practice context
Multi-provider organization. 4 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.