Kroger Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0829 Issued in CO

Legal business name

KROGER CO

Practice address

1220 S Lipan St
Denver, CO 80223-3069

Phone

(303) 778-3398

NPI assigned

Aug 24, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Allison Muennich

Title

Manager of Pharmacy Licensing

Phone

(513) 762-1019

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Kroger Co. KS113 Doing business as

Tax ID family

Kroger Sav on J926319 organizations share this tax ID, including this one

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1003196825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842772",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022842772",
            "telephone_number": "513-762-1019",
            "fax_number": "513-762-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 S LIPAN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802233069",
            "telephone_number": "303-778-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROGER CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "MUENNICH",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "MANAGER OF PHARMACY LICENSING",
        "authorized_official_telephone_number": "513-762-1019"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "0829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131461",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63208008",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Kroger Co. KS113",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Kritzler, CNM, FNP
• Jasmina Krkalic, RDH
• Casey Kroener
• Kroese Chiropractic PC
• Jason L Kroese, D.C.
• Peter S Krogh, MD
• Esther S Kroh, M.D.
• Joan M Kroll, RPH
• Kevin John Kroll, RN
• Rachelle Helene Kromash

• Community/Retail Pharmacy in Denver, CO
• Providers in Denver, CO by specialty
• Community/Retail Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.