Organization Active NPI

Kroger Texas LP

Doing business as Kroger Pharmacy Southwest Division

  • Community/Retail Pharmacy
  • Hutchinson, KS
National Provider Identifier
1801939236
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KROGER TEXAS LP
Doing business as
Kroger Pharmacy Southwest Division
Practice address
2700 E 4TH Ave
Hutchinson, KS 67501-1903
Phone
(866) 680-5133
Fax
(620) 669-1898
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Mr. Wendell Mark Woolf, RPH
Title
Director of Pharmacy
Phone
(513) 762-4672

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Institutional Pharmacy 3336I0012X

Addresses

Primary practice location

2700 E 4TH Ave
Hutchinson, KS 67501-1903

Mailing address

PO Box 415000
MSC 410646 Kroger Southwest Pharmacy
Nashville, TN 37241-5000
Phone (866) 680-5133

Other names 1

  • Kroger Pharmacy Southwest Division Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kroger Texas201 organizations share this tax ID, including this one

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1801939236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415000",
            "address_2": "MSC 410646 KROGER SOUTHWEST PHARMACY",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372415000",
            "telephone_number": "866-680-5133",
            "fax_number": "620-669-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E 4TH AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675011903",
            "telephone_number": "866-680-5133",
            "fax_number": "620-669-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROGER TEXAS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "WOOLF",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "513-762-4672",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kroger Pharmacy Southwest Division",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hutchinson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.