Kroger

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0015733 Issued in OR

Legal business name

KROGER

Doing business as

Fred Meyer Pharmacy

Practice address

7404 N Interstate Ave
Portland, OR 97217-5528

Phone

(503) 286-6784

NPI assigned

Dec 5, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Hieu Minh Nguyen, PHARM.D.

Title

Pharmacist

Phone

(971) 570-5390

Specialties & licenses 1

Addresses

Other names 1

• Fred Meyer Pharmacy Doing business as

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1225572639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7404 N INTERSTATE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972175528",
            "telephone_number": "971-570-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7404 N INTERSTATE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972175528",
            "telephone_number": "503-286-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HIEU",
        "authorized_official_middle_name": "MINH",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "971-570-5390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0015733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fred Meyer Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katheryn A Kroeger, LCSW
• Zachary Adam Kroeger, MD
• Jason Christopher Kroening-Roche, M.D., M.P.H.
• Olivia Kroening-Roche, CNM
• Karlie McLeod Kroessin
• Wilvy Krogstad
• Alfons Lucian Krol, MD
• Teana Ann Marie Krolak
• Marcus R. Kroloff
• Jack Kron, MD

• Pharmacist in Portland, OR
• Providers in Portland, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.