KROGER PHARMACY – NPI #1114951910
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.

KROGER PHARMACY is a pharmacy located in CINCINNATI, OH. NPPES has assigned the NPI number 1114951910 to KROGER PHARMACY on July 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KROGER PHARMACY” is a dba name, the actual legal business name for this organization is KROGER LIMITED PARTNERSHIP I. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 2 years ago on Apr 17, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KROGER PHARMACY below.

NPI Profile for
KROGER LIMITED PARTNERSHIP I

NPI Number
1114951910
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KROGER LIMITED PARTNERSHIP I
Doing Business As (dba): KROGER PHARMACY
Primary location
4530 EASTGATE BLVD STE 500
CINCINNATI, OH 45245-1256
Phone: (513) 752-8479 Fax: (513) 752-6525
Mailing address
PO BOX 842772
BOSTON, MA 02284-2772
Phone: (513) 762-1019 Fax: (513) 762-1092
Organization Subpart
No
Authorized Official
JESSIE WARMAN
MANAGER PHARMACY LICENSING
Phone: (513) 762-1090
Updated
Certification Date
Apr 17, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KROGER PHARMACY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherPK2072116
medicaidOH0823836
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)
OH 021043600
333600000X
- Pharmacy
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.