Kroger Texas LP

Community/Retail Pharmacy · Prosper, TX

Organization Active NPI

NPI number 1770023798

Practice location

4650 W University Dr
Prosper, TX 75078-9091
Phone
(972) 346-5244
Fax
(713) 422-8031

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NPI record

NPI
1770023798
Entity type
Organization (Type 2)
Enumeration date
February 24, 2017
Last updated
September 19, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community/Retail Pharmacy Primary 3336C0003X — —
Durable Medical Equipment & Medical Supplies 332B00000X — —
Pharmacy 333600000X — —

Mailing address

PO Box 842772
Boston, MA 02284-2772
Phone
(513) 762-1019

Authorized official

Name
Allison Bredestege
Title
Manager of Pharmacy Licensing
Phone
(513) 762-1263

Other names

  • Kroger Pharmacy #589

About Kroger Texas LP

Kroger Texas LP is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 4650 W University Dr, Prosper, TX 75078-9091. The NPI number 1770023798 was assigned on February 24, 2017 and the record was last updated on September 19, 2025.

The authorized official for this organization is Allison Bredestege, Manager of Pharmacy Licensing.

Frequently asked questions

What is the NPI number of Kroger Texas LP?

The NPI number is 1770023798.

What is the phone number of Kroger Texas LP?

The phone number listed for the practice location is (972) 346-5244.

Where is Kroger Texas LP located?

4650 W University Dr, Prosper, TX 75078-9091.

What is the taxonomy code for Kroger Texas LP?

The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy; 2 more listed above.

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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