KROGER PHARMACY – Community/Retail Pharmacy, NPI 1982777504

KROGER PHARMACY is a healthcare provider. based in Fort worth, Texas. specializing in Community/Retail Pharmacy. The organization holds a License No. 20314 (TX). The NPI Number for KROGER PHARMACY is 1982777504

Main info

Organization
Name
KROGER PHARMACY
NPI
1982777504
Phone
(817) 446-6673
Address
1050 BRIDGEWOOD DR
Authorized Official
KARLA LANGWORTHY PHARMACY LICENSING MANAGER
Enumeration Date
15 November 2006
Last Update Date
7 September 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for KROGER PHARMACY

  • 1050, Bridgewood Drive, Ederville, Fort Worth, Tarrant County, Texas, 76112, United States

    FORT WORTH, TX 761120802

    Phone: (817) 446-6673

    Fax: (817) 446-4943

    Type: Location

  • 19245, David Memorial Drive, Shenandoah, Montgomery County, Texas, 77385, United States

    SHENANDOAH, TX 773858778

    Phone: (713) 507-6276

    Fax: (936) 442-6704

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76112)

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Reviews

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Frequently asked questions

Can I verify KROGER PHARMACY with an NPI only?
You can start verification with NPI 1982777504 for KROGER PHARMACY, then check state licensing separately.
Is KROGER PHARMACY still practicing?
KROGER PHARMACY is currently listed as active in the public NPI registry.
What is KROGER PHARMACY best known for clinically?
Directory data describes KROGER PHARMACY with Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
Where is KROGER PHARMACY based?
KROGER PHARMACY is tied to Fort Worth, Texas in the data we show; additional addresses may exist on the full record.
Is the information about KROGER PHARMACY up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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