KROGER (NPI# 1225572639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225572639 |
| Entity Type | Organization |
| Organization Name | KROGER |
| Other Organization Name | FRED MEYER PHARMACY |
| Practice Address |
7404 N Interstate Ave Portland OR 97217-5528 |
| Practice Telephone | 5032866784 |
| Mailing Telephone | 9715705390 |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |
| Authorized Official Name | DR. HIEU MINH NGUYEN (PHARMACIST) |
| Authorized Official Telephone | 9715705390 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH-0015733 | OR | Pharmacy Service Providers |
| Other Name | Type Code |
|---|---|
| Fred Meyer Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528287364 | Kroger | Pharmacist | 1735 N Memorial Dr, Lancaster, OH 43130-1634 | 2007-04-24 |
| 1356711873 | Kroger | Pharmacist | 3600 Gus Thomasson Rd, Mesquite, TX 75150-6200 | 2015-09-26 |
| 1043691009 | Kroger | Pharmacy | 2217 N Broadway St, Knoxville, TN 37917-4719 | 2015-06-16 |
| 1639562820 | Kroger | Clinic/Center | 16325 Ventura Blvd, Encino, CA 91436-2101 | 2015-03-11 |
| 1174937874 | Kroger | Pharmacy | 350 E Six Forks Rd, Raleigh, NC 27609-7879 | 2014-06-20 |
| 1396182416 | Kroger | Pharmacy | 3570 Hartsel Dr, Colorado Springs, CO 80920-4165 | 2013-05-30 |
| 1699064485 | Kroger | Pharmacist | 5705 Charlotte Pike, Nashville, TN 37209 | 2011-04-01 |
| 1447554423 | Kroger | Pharmacist | 8345 Creedmoor Rd, Raleigh, NC 27613-1385 | 2011-01-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | KROGER & SONS HAULING, LLC | 905 Court St, Harlan, IA 51537 |
| Oregon Corporations, Companies and Business Names | KROGER CENTRAL ALARM CONTROL | 3800 Se 22nd Ave, Portland, OR 97202 |
| Vermont Business Registrations | KROGER CO. THE | 1014 Vine Street, Cincinnati, OH 45202 |
| Massachusetts Corporations | KROGER CO. THE | 1014 Vine St., Cincinnati, MA 45201 |
| System for Award Management (SAM) Entities | KROGER CO., THE | 1014 Vine St, Cincinnati, OH 45202-1141 |
| Indiana Business Entities | KROGER CONSULTING, LLC | 510 Sheldon Street, Lawrenceburg, IN 47025 |
| Washington State Corporations | KROGER DEDICATED LOGISTICS CO. | 1014 Vine St, Tax Dept Go 7, Cincinnati, OH 45202-1141 |
| Oregon Corporations, Companies and Business Names | KROGER DEDICATED LOGISTICS CO. | 1014 Vine St, Cincinnati, OH 45202 |
| Colorado Business Entities | KROGER DEDICATED LOGISTICS CO. | 1014 Vine St, Cincinnati, OH 45202 |
| Virginia Business Entities | KROGER DEDICATED LOGISTICS CO. | 1014 Vine St, Cincinnati, Ohio 45202-1100 |
| Street Address |
7404 N INTERSTATE AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97217-5528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194761007 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2006-06-20 |
| 1043826530 | Chau Minh Vo | Pharmacist | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2020-09-20 |
| 1801363874 | Lisa Tran | Pharmacist | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2018-10-29 |
| 1942741095 | Hieu Minh Nguyen | Pharmacist | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2017-03-08 |
| 1063897239 | Fred Meyer | Pharmacy | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2015-07-29 |
| 1144608183 | Sophia Trieu | Pharmacist | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2015-05-11 |
| 1063750487 | Eric W White | Pharmacist | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2013-01-18 |
| 1154667806 | Maria Jose Gonzalez-rivas | Pharmacist | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2012-12-28 |
| 1235402199 | Shilpa Nadgouda | Pharmacist | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2012-02-22 |
| 1073886032 | Seyedeh Faye Iliaifar | Pharmacist | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2012-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326531666 | Working Class Medicine LLC | Clinic/Center | 2133 N. Willis Blvd, Studio D, Portland, OR 97217 | 2018-06-12 |
| 1235643602 | Autism Outreach of Oregon | Occupational Therapist | 10350 N Vancouver Way #1043, Portland, OR 97217 | 2017-11-21 |
| 1689183717 | Kai-uwe H. Hahn Dmd Dba Edelweiss Dental | Clinic/Center | 3503 N Lombard Street, Portland, OR 97217 | 2017-09-20 |
| 1407308125 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 3449 N Anchor Street, Ste 300a, Portland, OR 97217 | 2016-10-28 |
| 1750740577 | Sheila Amoo | Adult Companion | 236 N Killingworth St. Apt.b104, Portland, OR 97217 | 2016-02-22 |
| 1801282199 | Justine Osborn | Specialist | 4310 N. Interstate Ave, Portland, OR 97217 | 2015-04-13 |
| 1578957742 | Paul Buck Md, Dds, PC | Clinic/Center | 3332 N Lombard St, Suite C, Portland, OR 97217 | 2015-03-25 |
| 1295158186 | Rebecca Bulleri | Massage Therapist | 5416 N. Maryland Ave, Portland, OR 97217 | 2014-01-28 |
| 1659793107 | Shellmire Unlimited, P.C. | Community/Behavioral Health | 4134 N Vancouver Avenue, Suite 102, Portland, OR 97217 | 2014-01-16 |
| 1417207994 | Sportland Acupuncture LLC | Acupuncturist | 1025 N Humboldt, Portland, OR 97217 | 2012-09-12 |
| Find all providers in zip 97217 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460371 | Samantha Nozomi Murata | Pharmacist | 5415 Sw Beaverton Ct Hwy, Portland, OR 97221 | 2020-09-08 |
| 1053923920 | Hoang Lan Ngoc Doan | Pharmacist | 4201 Ne 129th Pl, Portland, OR 97230-1405 | 2020-08-20 |
| 1528677531 | Mi Pham | Pharmacist | 5824 Se 134th Pl, Portland, OR 97236-2987 | 2020-07-26 |
| 1700407350 | Emad Banoub | Pharmacist | 1105 Hyw 181, Portland, TX 78374 | 2020-05-05 |
| 1255951471 | Nam Lai | Pharmacist | 2655 Se 50th Ave Apt 415, Portland, OR 97206-1577 | 2020-04-17 |
| 1275167439 | Mayasah Anas Sedeeq Al Bazzaz | Pharmacist | 15122 Nw Fig Ln, Portland, OR 97229-6986 | 2020-02-26 |
| 1427696632 | Thai Tran | Pharmacist | 7901 Se Powell Blvd, Portland, OR 97206-2314 | 2019-12-18 |
| 1740825587 | Dalia Bayaa | Pharmacist | 325 Sw Harrison Street, Portland, OR 97201 | 2019-11-15 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1952966970 | Linda P. Pham | Pharmacist | 7901 Se Powell Blvd Ste K, Portland, OR 97206-2314 | 2019-05-06 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.