The Kroger Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

THE KROGER CO

Practice address

3200 Lake Emma Rd Unit 1000
Lake Mary, FL 32746-3358

Phone

(513) 867-5050

NPI assigned

Aug 19, 2022

Organization subpart

No

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

Authorized official

Name

Lysette Seilhamer

Title

Manager of Licensing

Phone

(515) 762-1090

Specialties & licenses 2

Addresses

Other names 1

• Kroger Health Connect - Lake Mary Doing business as

Tax ID family

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

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1396463808",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 LAKE EMMA RD UNIT 1000",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463358",
            "telephone_number": "513-867-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KROGER CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "SEILHAMER",
        "authorized_official_first_name": "LYSETTE",
        "authorized_official_title_or_position": "MANAGER OF LICENSING",
        "authorized_official_telephone_number": "515-762-1090"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kroger Health Connect - Lake Mary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maulika Thakore, PT
• Nirajkumar Thakore
• Angela Thapa, B.S.
• The Cardiovascular Center, P.a.
• The Childrens Center LLC
• Elaine Thilo, OTR
• Alexandra Thomas, PA-C
• Devin Danielle Thomas
• Kelli K Thomazin, PA-C
• Christopher Thompson

• Community/Retail Pharmacy in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.