The Kroger Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009513 Issued in GA

Legal business name

THE KROGER CO

Practice address

6766 Hickory Flat Hwy
Canton, GA 30115-9224

Phone

(770) 721-7310

Fax

(770) 721-7315

NPI assigned

Oct 23, 2008

Organization subpart

No

Name

Allison Muennich

Title

Manager of Pharmacy Licensing

Phone

(513) 762-1019

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

• Chelsea Brown

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Jasper, GA
  • NPI 1336747161
  NPD (past)
• Catherine Rachel Dover, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Canton, GA
  • NPI 1710518782
  NPD (past)
• Bela Palmer

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Canton, GA
  • NPI 1811527765
  NPD (past)

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Tax ID family

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

Organizations with this tax ID in the same state 24

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
  • Woodstock, GA
  • NPI 1437183241
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Oakwood, GA
  • NPI 1447186929
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Marietta, GA
  • NPI 1457376139
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Jonesboro, GA
  • NPI 1457385262
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Covington, GA
  • NPI 1457385296
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Powder Springs, GA
  • NPI 1467477240
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Calhoun, GA
  • NPI 1467486209
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Loganville, GA
  • NPI 1467623744
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Johns Creek, GA
  • NPI 1467794768
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Suwanee, GA
  • NPI 1477587210
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Savannah, GA
  • NPI 1477587350
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Macon, GA
  • NPI 1497789226
  NPD tax ID

Locations

• Kroger Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 16, 2016.

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1508019472",
    "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": "6766 HICKORY FLAT HWY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301159224",
            "telephone_number": "770-721-7310",
            "fax_number": "770-721-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KROGER CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "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": "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": "GA",
            "license": "PHRE009513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117531",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003129888A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kroger Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Canton, GA
• Community/Retail Pharmacy in Georgia

• 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.
• 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.