Kroger Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP0009882 Issued in WV

Legal business name

KROGER PHARMACY

Practice address

19 7TH Ave W
Huntington, WV 25701-1734

Phone

(304) 522-6677

NPI assigned

Oct 17, 2016

Organization subpart

No

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

Authorized official

Name

Casey Lynn Summers

Title

Pharmacist

Phone

(304) 290-7732

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1831640663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 7TH AVE W",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011734",
            "telephone_number": "304-522-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 7TH AVE W",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011734",
            "telephone_number": "304-522-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROGER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "304-290-7732"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "RP0009882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Krantz
• Beth Kreuger
• Michael O Kreuger
• Kroger Limited Partnership I
• Kroger Limited Partnership I
• Diane Marie Krutzler-Berry, MD
• Amber Lee Kuhl, MD
• Gracen Lily Kuhner
• Brady Kullen
• Kumar Nephrology and Hypertension Inc

• Community/Retail Pharmacy in Huntington, WV
• Providers in Huntington, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.