The Kroger Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

7494 Issued in GA

Legal business name

THE KROGER CO

Practice address

10945 State Bridge Rd
Alpharetta, GA 30022-8164

Phone

(770) 751-3010

Fax

(770) 751-9115

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Allison Muennich

Title

Manager of Pharmacy Licensing

Phone

(513) 762-1019

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• KROGER PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in GA2 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 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
  • 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
• The Kroger Co

  • Community/Retail Pharmacy
  • Canton, GA
  • NPI 1508019472
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Dublin, GA
  • NPI 1508890310
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Atlanta, GA
  • NPI 1508890328
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Smyrna, GA
  • NPI 1518244482
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Acworth, GA
  • NPI 1518982297
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Atlanta, GA
  • NPI 1518991348
  NPD tax ID

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1528083201",
    "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": "10945 STATE BRIDGE RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228164",
            "telephone_number": "770-751-3010",
            "fax_number": "770-751-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KROGER CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "7494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00536709A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2018388",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KROGER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Graivier Center
• The Hand and Upper Extremity Rehabilitation Center
• The Health and Wellness Centers of Alpharetta, LLC
• The Holistic Coalition, LLC
• The Kroger Co
• The Kroger Co
• The Kroger Co
• The Kroger Co
• The Kroger Co
• The Lanford Group, Inc.

• Community/Retail Pharmacy in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• 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.