Organization Active NPI

The Kroger Co

Doing business as PPSRx

  • Mail Order Pharmacy
  • Hutchinson, KS
National Provider Identifier
1881737039
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
Legal business name
THE KROGER CO
Doing business as
PPSRx
Practice address
2700 E 4TH Ave
Hutchinson, KS 67501-1903
Phone
(866) 680-5133
Fax
(620) 669-1898
NPI assigned
Feb 15, 2007
Last updated
Mar 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Mr. Wendell Mark Woolf, RPH
Title
Director of Pharmacy
Phone
(513) 762-4672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X Primary

Addresses

Primary practice location

2700 E 4TH Ave
Hutchinson, KS 67501-1903

Mailing address

PO Box 2377
PPS Fredmeyer Pharmacy
Portland, OR 97208-2377
Phone (866) 680-5133

Other names 1

  • PPSRx Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kroger Pharmacy 253319 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": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1881737039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2377",
            "address_2": "PPS FREDMEYER PHARMACY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972082377",
            "telephone_number": "866-680-5133",
            "fax_number": "620-669-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E 4TH AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675011903",
            "telephone_number": "866-680-5133",
            "fax_number": "620-669-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KROGER CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "WOOLF",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "513-762-4672",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PPSRx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hutchinson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.