Organization · Type 2 NPI

Kroger Texas LP

Community/Retail Pharmacy · Arlington, TX

NPI number 1396244000 Active

Practice location

5101 W Sublett Rd
Arlington, TX 76017-1178

Call (513) 762-1019 Map

Fax (513) 762-1092

Mailing address

PO Box 842772
Boston, MA 02284-2772

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	31974 (TX)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

5 other providers at this address

Other community/retail pharmacy providers in Arlington

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NPI record

NPI: 1396244000
Entity type: Organization (Type 2)
Issued: Feb 8, 2018
Last updated: Sep 19, 2025
Status: Active

Other names

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Kroger Pharmacy #592 · doing business as
Kroger Pharmacy #592 · doing business as

Authorized official

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

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1396244000

Kroger Texas LP's National Provider Identifier is 1396244000, issued on Feb 8, 2018. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Arlington, TX. The record was last updated on Sep 19, 2025.