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Contact Information

THE KROGER CO
800 W COSHOCTON ST
JOHNSTOWN, OH43031
 Phone: 740-966-8310
 Fax: 740-966-8312
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for THE KROGER CO

NPI Number 1336473701
LBN Legal business name THE KROGER CO
Authorized official JESSIE WARMAN - (MANAGER OF PHARMACY LICENSING)
Entity Organization
Organization subpart 1 No
Enumeration date 10/01/2009
Last updated 02/05/2020 - About 6 years ago
Identifiers
OH License # 021991400
OH Medicaid 3004591
Other 2122044 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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