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
1232 SOUTH HAIRST0N RD
STONE MOUNTAIN, GA30088
Phone: 404-292-5542
Fax: 404-297-4223
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for THE KROGER CO

NPI Number 1528092228
Legal business name
LBN
THE KROGER CO
Authorized official ALLISON MUENNICH - (MANAGER OF PHARMACY LICENSING)
Entity Organization
Organization subpart No
Enumeration date 07/10/2006
Last updated 05/18/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 6626
  • GA Medicaid: 00321912A
  • Other: 2015057 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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