The Kroger Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

THE KROGER CO

Doing business as

Kroger Pharmacy Atlanta Division

Practice address

2700 E 4TH Ave
Hutchinson, KS 67501-1903

Phone

(866) 680-5133

Fax

(620) 669-1898

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Wendell Mark Woolf, RPH

Title

Director of Pharmacy

Phone

(513) 762-4672

Specialties & licenses 2

Addresses

Other names 1

• Kroger Pharmacy Atlanta Division Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

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

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• The Kroger Co

  dba PPSRx

  • Mail Order Pharmacy
  • Hutchinson, KS
  • NPI 1881737039
  NPD tax ID
• The Kroger Co

  dba Kroger Pharmacy Great Lakes Division

  • Community/Retail Pharmacy
  • Hutchinson, KS
  • NPI 1952444036
  NPD tax ID

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1093858474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305227",
            "address_2": "KROGER PHARMACY ATLANTA",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372305227",
            "telephone_number": "866-680-5133",
            "fax_number": "620-669-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E 4TH AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675011903",
            "telephone_number": "866-680-5133",
            "fax_number": "620-669-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KROGER CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "WOOLF",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "513-762-4672",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kroger Pharmacy Atlanta Division",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abby Leigh Terry, FNP-C
• Kailey P Thach, DPT
• The Dialysis Center of Hutchinson, LLC
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Hutchinson Village)
• The Hutchinson Ophthalmology ASC LLC (Surgery Center of South Central Kansas)
• The Kroger Co (PPSRx)
• The Kroger Co (Kroger Pharmacy Great Lakes Division)
• Deborah A Theis, LSCSW
• Jerod William Theis, PHARMD
• John Francis Theis, LSCSW

• Community/Retail Pharmacy in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.