The Kroger Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

THE KROGER CO

Practice address

175 Peachtree Exchange Blvd
Hoschton, GA 30548-2513

Phone

(513) 762-1090

NPI assigned

May 23, 2025

Organization subpart

No

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

Authorized official

Name

Amber Nicole Williams

Title

Licensing Manager

Phone

(513) 762-1090

Specialties & licenses 2

Addresses

Other names 1

• Kroger Pharmacy #686 Doing business as

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Kroger Sav on J926319 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

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

• The Kroger Co

  • Community/Retail Pharmacy
  • Roswell, GA
  • NPI 1912931726
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Marietta, GA
  • NPI 1922023704
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Atlanta, GA
  • NPI 1922032754
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Marietta, GA
  • NPI 1932124617
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Warner Robins, GA
  • NPI 1932393550
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Marietta, GA
  • NPI 1942234778
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Martinez, GA
  • NPI 1942234794
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Lilburn, GA
  • NPI 1952335770
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Tucker, GA
  • NPI 1952335861
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Covington, GA
  • NPI 1952592990
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Stockbridge, GA
  • NPI 1972528651
  NPD tax ID
• The Kroger Co

  • Community/Retail Pharmacy
  • Jasper, GA
  • NPI 1972537785
  NPD tax ID

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1982497814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 VINE ST FL 21",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 PEACHTREE EXCHANGE BLVD",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305482513",
            "telephone_number": "513-762-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KROGER CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "LICENSING MANAGER",
        "authorized_official_telephone_number": "513-762-1090"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kroger Pharmacy #686",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Supreme Buy LLC
• Juliana D'Oliveira Sutnik, LPC
• Take Heart ABA LLC
• Jessica Catharina Taylor
• The Braselton Clinic
• Monika E Thelen, DPT
• Thomas William Crumbley
• Elise Embrick Thrift, LPC
• Thrive Gear LLC
• Sharesa L Tillman

• Community/Retail Pharmacy in Hoschton, GA
• Providers in Hoschton, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.