Kroger

Pharmacist · Mesquite, TX

Organization Active NPI

NPI number 1356711873

Practice location

3600 Gus Thomasson Rd
Mesquite, TX 75150-6200
Phone
(972) 270-2401
Fax
(972) 613-2465

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NPI record

NPI
1356711873
Entity type
Organization (Type 2)
Enumeration date
September 26, 2015
Last updated
September 26, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 55682 TX

Authorized official

Name
Richard Mendoza, PHARMD
Title
Pharmacist
Phone
(972) 270-2401

About Kroger

Kroger is a healthcare organization registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 3600 Gus Thomasson Rd, Mesquite, TX 75150-6200. The NPI number 1356711873 was assigned on September 26, 2015 and the record was last updated on September 26, 2015.

Kroger lists a license in the registry: #55682 (TX) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Richard Mendoza, PHARMD, Pharmacist.

Frequently asked questions

What is the NPI number of Kroger?

The NPI number is 1356711873.

What is the phone number of Kroger?

The phone number listed for the practice location is (972) 270-2401.

Where is Kroger located?

3600 Gus Thomasson Rd, Mesquite, TX 75150-6200.

What is the taxonomy code for Kroger?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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