NPIMap

Organization Active NPI

Kroger Co.

  • Community/Retail Pharmacy
  • Casa Grande, AZ
National Provider Identifier
1861897738
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
S012817 Issued in AZ
Legal business name
KROGER CO.
Practice address
2858 N Pinal Ave
Casa Grande, AZ 85122-7917
Phone
(520) 426-4701
NPI assigned
Nov 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Loc Khac Le, PHARMD
Title
Pharmacist
Phone
(520) 426-4701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X S012817 AZ Primary

Addresses

Primary practice location

2858 N Pinal Ave
Casa Grande, AZ 85122-7917

Mailing address

2858 N Pinal Ave
Casa Grande, AZ 85122-7917
Phone (520) 426-4701

National Provider Directory

National Provider Directory
Tax ID family
Kroger Sav on J926319 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

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

Locations

2858 N Pinal Ave
Casa Grande, AZ 85122
Phone (520) 426-4701

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1861897738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2858 N PINAL AVE",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851227917",
            "telephone_number": "520-426-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2858 N PINAL AVE",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851227917",
            "telephone_number": "520-426-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROGER CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "LOC",
        "authorized_official_middle_name": "KHAC",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "520-426-4701",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "S012817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.