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Kroger Texas L P

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NPI Number Detailed Information

Provider Information:

Name: Kroger Texas L P
Gender:
Provider License Number If Given:

NPI Information:

NPI: 1154494771
Entity Type
(Individual or Organization):
2-org
Enumeration Date: 11/15/2006

Last Update Date: 6/27/2016

Provider Business Mailing Address:

Address: PO BOX 842772
Boston, MA 02284
Phone Number: 5137621019
Fax Number: 5137621092

Provider Business Practice Location Address:

Address: 1300 W FAIRMONT PKWY
La Porte, TX 77571
Phone Number: 2818421022
Fax Number: 2818421023

Provider Taxonomy:

Primary: 333600000X
Secondary (if any): 332B00000X
State: TX

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About Kroger Texas L P

Kroger Texas L P ( KROGER TEXAS L P ) is A Pharmacy Provider in La Porte, TX. The NPI Number for Kroger Texas L P is 1154494771.
The current location address for Kroger Texas L P is 1300 W FAIRMONT PKWY La Porte, TX 77571 and the contact number is 5137621019 and fax number is 5137621092. The mailing address for Kroger Texas L P is PO BOX 842772 Boston, MA 02284- 2818421022 (mailing address contact number - 5137621019).
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Provider Business Location on Map

FAQs:

What is the NPI Number for Kroger Texas L P ?


Answer: The NPI Number for Kroger Texas L P is 1154494771

Where is Kroger Texas L P located?


Answer: Kroger Texas L P is located at 1300 W FAIRMONT PKWY La Porte, TX 77571.

What is the specialty for Kroger Texas L P ?


Answer: The Specialty of Kroger Texas L P is A Pharmacy Provider.

Are there any online reviews for Kroger Texas L P ?


Answer: Not yet!

Are there any other health care providers in La Porte, TX?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Kroger Texas L P

Number of HCPCS 15
Number of Medicare Beneficiaries 296
Number of Services 509
Total Submitted Charge Amount 22020
Total Medicare Allowed Amount 21706.86
Total Medicare Payment Amount 21706.86
Total Medicare Standardized Payment Amount 21339.16
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 4
Number of Medicare Beneficiaries With Drug Services 70
Number of Drug Services 77
Total Drug Submitted Charge Amount 6567.88
Total Drug Medicare Allowed Amount 6254.74
Total Drug Medicare Payment Amount 6254.74
Total Drug Medicare Standardized Payment Amount 6130.64
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 11
Number of Medicare Beneficiaries With Medical 296
Number of Medical Services 432
Total Medical Submitted Charge Amount 15452.12
Total Medical Medicare Allowed Amount 15452.12
Total Medical Medicare Payment Amount 15452.12
Total Medical Medicare Standardized Payment Amount 15208.52
Average Age of Beneficiaries 72
Number of Beneficiaries Age Less 65 21
Number of Beneficiaries Age 65 to 74 177
Number of Beneficiaries Age 75 to 84 82
Number of Beneficiaries Age Greater 84 16
Number of Female Beneficiaries 167
Number of Male Beneficiaries 129
Number of Non-Hispanic White Beneficiaries 228
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 48
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 26
Number of Beneficiaries With Medicare Only Entitlement 270
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0.05
Percent (%) of Beneficiaries Identified With Heart Failure 0.08
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.15
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.07
Percent (%) of Beneficiaries Identified With Diabetes 0.15
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.26
Percent (%) of Beneficiaries Identified With Hypertension 0.27
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.19
Percent (%) of Beneficiaries Identified With Osteoporosis 0.05
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.15
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.9836

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Address: 10407 W FAIRMONT PKWY STE B La Porte, TX 77571 , Phone: 2818670291
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Kroger Texas L P
Pharmacy
NPI Number: 1154494771
Address: 1300 W FAIRMONT PKWY La Porte, TX 77571 , Phone: 2818421022
Ms. Mireya Aimee Villarreal
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Address: 3807 COTTONWOOD DR La Porte, TX 77571 , Phone: 2814718663
Dr. Victor Allen Peres
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Address: 10932 SPENCER HWY STE B La Porte, TX 77571 , Phone: 2814715570
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Address: 9025 SPENCER HWY La Porte, TX 77571 , Phone: 2815429350
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Address: 404 W FAIRMONT PKWY La Porte, TX 77571 , Phone: 2814706060
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