Kroger Texas L P

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

006431 Issued in LA

Legal business name

KROGER TEXAS L P

Practice address

287 Panther Trail Drive
Kinder, LA 70648

Phone

(337) 738-3095

Fax

(337) 738-3163

NPI assigned

Sep 21, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karla Langworthy

Title

Manager of Pharmacy Credentialing

Phone

(513) 698-1878

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Coushatta Family Medical Center Pharmacy Doing business as

Member of 1

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

• The Kroger Co

  • Community/Retail Pharmacy
  • Woodstock, GA
  • NPI 1720012560

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1215210786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021141",
            "telephone_number": "513-698-1878",
            "fax_number": "513-762-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 PANTHER TRAIL DRIVE",
            "city": "KINDER",
            "state": "LA",
            "postal_code": "70648",
            "telephone_number": "337-738-3095",
            "fax_number": "337-738-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROGER TEXAS L P",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "LANGWORTHY",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "MANAGER OF PHARMACY CREDENTIALING",
        "authorized_official_telephone_number": "513-698-1878"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "006431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132006",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coushatta Family Medical Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kinder Eye Care
• Kinder Family Pharmacy, LLC
• Kinder Retirement and Rehabilitation Center, LLC
• Kinder Therapy Group, LLC
• Samantha Lee Klein-Vidrine
• Lake Area Dentistry Kinder
• Lindsey R Landry, MS, CCC-SLP
• Matthew Lovejoy, FNP-C
• Matthew R Courville MD LLC
• Sue A. Mayes, PTA

• Community/Retail Pharmacy in Kinder, LA
• Providers in Kinder, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.