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.

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Contact Information

THE KROGER CO

2452 MOROSGO WAY NE
ATLANTA, GA 30324

Phone: 404-946-0450
Fax: 404-946-0451
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

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NPI Profile & details for THE KROGER CO

NPI # 1780134403

LBN Legal business name THE KROGER CO

Authorized official JESSIE WARMAN - (MANAGER OF PHARMACY LICENSING)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/05/2016

Last updated 04/21/2025 - More than a year ago

Identifiers

GA	License #	PHRE010314
GA	Medicaid	003181373A
	Other	2164511	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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