The Kroger Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

021385050 Issued in OH

Legal business name

THE KROGER CO

Practice address

1700 Cedar St
Fremont, OH 43420-1114

Phone

(419) 332-9187

Fax

(419) 332-7658

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Jessie Warman

Title

Manager RX Licensing

Phone

(513) 762-1090

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• KROGER PHARMACY #01600536 Doing business as

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

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

Organizations with this tax ID in the same state 23

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

• The Kroger Co

  • Community/Retail Pharmacy
  • Toledo, OH
  • NPI 1013932722
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Bucyrus, OH
  • NPI 1013941731
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Lancaster, OH
  • NPI 1023042819
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Columbus, OH
  • NPI 1023042827
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Galloway, OH
  • NPI 1033143755
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Dublin, OH
  • NPI 1033143839
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Plain City, OH
  • NPI 1053142042
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Bellaire, OH
  • NPI 1053345751
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Marion, OH
  • NPI 1093730707
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Columbus, OH
  • NPI 1093749897
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Columbus, OH
  • NPI 1104841816
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Columbus, OH
  • NPI 1104850908
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Avery

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Fremont, OH
  • NPI 1598291239
  NPD (past)
• Kristin Kasperczyk, PHARM D

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Fremont, OH
  • NPI 1164957312
  NPD (past)
• Ashley Michelle Leis, PHARMD, RPH.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Fremont, OH
  • NPI 1053501064
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1104850825",
    "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": "1700 CEDAR ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434201114",
            "telephone_number": "419-332-9187",
            "fax_number": "419-332-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KROGER CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "WARMAN",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "MANAGER RX LICENSING",
        "authorized_official_telephone_number": "513-762-1090"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "021385050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2078987",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2411894",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KROGER PHARMACY #01600536",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Ann Tester, LSW, LICDC-CS
• Georgia Carol Thatcher, SC
• Terry Thomas Thatcher, D.C.
• The Center for Mental Health and Well-Being at Memorial Hospital
• The Center for Women'S Health
• The Woodlands of Fremont LLC
• Therapeutic Massage Solutions, LLC
• Thomas J. Overberg, O.D., Inc.
• Margie A Thomas
• Erica Thornhill, CT

• Community/Retail Pharmacy in Fremont, OH
• Providers in Fremont, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.