National Provider Identifier Database

THE KROGER CO
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 health care providers, collaborative practice, disease state management, and education classes.


Contact Information

THE KROGER CO
8465 HOLCOMB BRIDGE RD
JOHNS CREEK, GA30022
Phone: 770-552-4705
Fax:
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for THE KROGER CO

NPI Number 1467794768
Legal business name
LBN
THE KROGER CO
Authorized official JESSIE WARMAN - (MANAGER OF PHARMACY LICENSING)
Entity Organization
Organization subpart No
Enumeration date 03/25/2013
Last updated 07/20/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • GA Medicaid: 003134873A
  • Other: 2139584 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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