Organization Active NPI

Kroger Texas Limited Partnership

Doing business as Kroger Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
National Provider Identifier
1104999424
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
464518MedicaidTX
4557851OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • KROGER PHARMACY Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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

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.

Verify at the official NPI Registry.