NPIMap

Organization Active NPI

Kroger

  • Pharmacist
  • Nashville, TN
National Provider Identifier
1699064485
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
29462 Issued in TN
Legal business name
KROGER
Practice address
5705 Charlotte Pike
Nashville, TN 37209
Phone
(615) 353-5070
Fax
(615) 353-5588
NPI assigned
Apr 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
Kyndra Dove
Title
Pharmacy Coordinator
Phone
(615) 731-3084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 29462 TN Primary

Addresses

Primary practice location

5705 Charlotte Pike
Nashville, TN 37209

Mailing address

6405 Riveplace Drive
Nashville, TN 37221
Phone (615) 738-7146

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1699064485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 RIVEPLACE DRIVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37221",
            "telephone_number": "615-738-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 CHARLOTTE PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37209",
            "telephone_number": "615-353-5070",
            "fax_number": "615-353-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "DOVE",
        "authorized_official_first_name": "KYNDRA",
        "authorized_official_title_or_position": "PHARMACY COORDINATOR",
        "authorized_official_telephone_number": "615-731-3084"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "29462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.