Active NPI
Kroger Texas Limited Partnership
Doing business as Kroger Pharmacy
- Durable Medical Equipment & Medical Supplies
- Houston, TX
National Provider Identifier
1104999424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- KROGER TEXAS LIMITED PARTNERSHIP
- Doing business as
- Kroger Pharmacy
- Practice address
- 10998 Fuqua St
Houston, TX 77089-2410 - Phone
- (281) 481-0231
- Fax
- (281) 484-2894
- NPI assigned
- Nov 16, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Byron Cooley
- Title
- Pharmacy Merchandiser
- Phone
- (713) 507-6276
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Pharmacy | 333600000X | 20176 | TX | |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
10998 Fuqua St
Houston, TX 77089-2410
Mailing address
19245 David Memorial Dr
Conroe, TX 77385-8778
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 464518 | Medicaid | TX | |
| 4557851 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- KROGER PHARMACY
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Kroger Pharmacy
- Community/Retail Pharmacy
- Pickerington, OH
- NPI 1245255967
Member Of
Locations
10998 Fuqua St
Houston, TX 77089
Phone (281) 481-0231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1104999424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19245 DAVID MEMORIAL DR",
"city": "CONROE",
"state": "TX",
"postal_code": "773858778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10998 FUQUA ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770892410",
"telephone_number": "281-481-0231",
"fax_number": "281-484-2894"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KROGER TEXAS LIMITED PARTNERSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-16",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "COOLEY",
"authorized_official_first_name": "BYRON",
"authorized_official_title_or_position": "PHARMACY MERCHANDISER",
"authorized_official_telephone_number": "713-507-6276"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TX",
"license": "20176",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "464518",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "4557851",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "KROGER PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
- Kroger Texas L P (Kroger Pharmacy)
- Kroger Texas L P (Kroger Pharmacy)
- Kroger Texas L P (Kroger Pharmacy)
- Kroger Texas L P (Kroger Pharmacy)
- Kroger Texas L P (Kroger Pharmacy)
- Kroger Texas LP (Kroger Pharmacy)
- Kroger Texas LP (Kroger Pharmacy #128)
- Kathleen Tran Kroger, M.D.
- Juauna Krogh, LPC-ASSOCIATE
- Martie Krol, M.S., CCC, SLP, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.