| NPI | 1104999424 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-11-16 |
| Last Updated | 2025-09-11 |
| Authorized Official | Byron Cooley PHARMACY MERCHANDISER Phone: 7135076276 |
| Mailing Address | 19245 David Memorial Dr Conroe, TX 77385-8778 United States 📍 View Map |
| Primary Practice Address | 10998 Fuqua St Houston, TX 77089-2410 United States Phone: (281) 481-0231 | Fax: (281) 484-2894 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | 4557851 | Other ID Number-Commercial Number |
| MEDICAID | TX | 464518 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | TX | 20176 |
| No | 3336C0003X – Pharmacy, Community/Retail Pharmacy | - | - |
| Yes | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1104999424
Kroger Texas Limited Partnership is an organization registered in the CMS NPPES NPI Registry with NPI number 1104999424. The primary specialty listed is Durable Medical Equipment & Medical Supplies. The organization is located in Houston, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-11-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104999424?
NPI 1104999424 belongs to Kroger Texas Limited Partnership, a Durable Medical Equipment & Medical Supplies in Houston, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104999424 active?
The current status of NPI 1104999424 in the NPPES registry is Active. The record was last updated on 2025-09-11.
What specialty is NPI 1104999424?
NPI 1104999424 is classified under the taxonomy Durable Medical Equipment & Medical Supplies. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104999424?
You can verify NPI 1104999424 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104999424?
The primary practice address on file for NPI 1104999424 is 10998 Fuqua St, Houston, TX 77089-2410. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104999424 issued?
NPI 1104999424 was first issued (enumerated) on 2006-11-16. The NPPES record was last updated on 2025-09-11.
Practice Location Map
Kroger Texas Limited Partnership is located at 10998 Fuqua St, Houston, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Kroger Texas Limited Partnership. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104999424. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy | 20176 | TX |