NPIMap

Organization Active NPI

Kroger Health Solutions

  • Pharmacist
  • Raleigh, NC
National Provider Identifier
1861511834
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
07489 Issued in NC
Legal business name
KROGER HEALTH SOLUTIONS
Practice address
350 E Six Forks Rd
Raleigh, NC 27609
Phone
(919) 835-9596
Fax
(919) 835-9837
NPI assigned
Mar 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Chet Kanjia, PHT
Title
Pharmacist
Phone
(919) 835-9596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 07489 NC Primary

Addresses

Primary practice location

350 E Six Forks Rd
Raleigh, NC 27609

Mailing address

350 Six Forks Rd
Raleigh, NC 27609
Phone (919) 835-9596

Other identifiers 1

IdentifierTypeStateIssuer
0920118MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Kroger Pharmacy611 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861511834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27609",
            "telephone_number": "919-835-9596",
            "fax_number": "919-835-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27609",
            "telephone_number": "919-835-9596",
            "fax_number": "919-835-9837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROGER HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANJIA",
        "authorized_official_first_name": "CHET",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "919-835-9596",
        "authorized_official_credential": "PHT"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "07489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0920118",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.