THE KROGER CO (NPI# 1407871114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407871114 |
| Entity Type | Organization |
| Organization Name | THE KROGER CO |
| Other Organization Name | KROGER PHARMACY |
| Practice Address |
4925 Jackman Rd Toledo OH 43613-3574 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 4194759103 |
| Practice Fax Number | 4194759165 |
| Mailing Telephone | 5137621019 |
| Mailing Fax Number | 5137621092 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | JESSIE WARMAN (MANAGER PHARMACY LICENSING) |
| Authorized Official Telephone | 5137621090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
021156600 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2135193 | 05 | |
| PK | 2076489 | 01 |
| Other Name | Type Code |
|---|---|
| KROGER PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992325567 | The Kroger Co | Pharmacy | 3255 Eden Ave, Suite 336, Cincinnati, OH 45229 | 2020-04-23 |
| 1063073047 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 725 Ponce De Leon Ave Ne, Atlanta, GA 30306-4329 | 2019-06-21 |
| 1922566017 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 27 Discovery Dr, Bluffton, SC 22901 | 2019-03-07 |
| 1699272765 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 5550 Bethelview Rd, Cumming, GA 30040 | 2018-04-06 |
| 1780134403 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 2452 Morosgo Way Ne, Atlanta, GA 30324 | 2016-10-05 |
| 1730634239 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 125 E Main St Se, Cartersville, GA 30121 | 2016-08-25 |
| 1548611288 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 9484 Ellerbe Rd Ste 100, Shreveport, LA 71106 | 2016-06-23 |
| 1710335443 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 435 Lewiston Rd, Grovetown, GA 30813 | 2016-06-03 |
| 1003262809 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1028 Roberts Branch Pkwy, Columbia, SC 29203 | 2016-05-11 |
| 1043673650 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 800 Glenwood Ave Se, Atlanta, GA 30316 | 2016-03-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | THE KROGER CO ZERO HUNGER ZERO WASTE FOUNDATION | 1014 Vine Street, Cincinnati, OH 45202 |
| Connecticut Business Registrations | The Kroger Co. | 1014 Vine Street, Cincinnati, OH 45202 |
| Oregon Corporations, Companies and Business Names | THE KROGER CO. | 1014 Vine St, Cincinnati, OH 45202 |
| Washington State Corporations | THE KROGER CO. | 1014 Vine St, Cincinnati, OH 45202-1141 |
| Virginia Business Entities | THE KROGER CO. | 1014 Vine Street, Cincinnati, Ohio 45202-1100 |
| Colorado Business Entities | THE KROGER CO. | 1014 Vine St, Cincinnati, OH 45202-1100 |
| Oklahoma Business Registrations | THE KROGER CO. | Attn: Tax Dept, 1014 Vine, Cincinnati, OH 45202-1100 |
| Oregon Corporations, Companies and Business Names | THE KROGER CO. FOUNDATION | 1014 Vine St, Cincinnati, OH 45202 |
| Washington State Corporations | THE KROGER CO. FOUNDATION | 1014 Vine St, Cincinnati, OH 45202-1141 |
| Colorado Business Entities | The Kroger Co. Foundation | 1014 Vine St, Cincinnati, OH 45202 |
| Street Address |
4925 JACKMAN RD |
| City | TOLEDO |
| State | OH |
| Zip Code | 43613-3574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528608841 | Abraham Abdulsalam | Pharmacist | 4925 Jackman Rd, Toledo, OH 43613-3574 | 2020-01-14 |
| 1871005272 | Kyle Mccormick | Pharmacist | 4925 Jackman Rd, Toledo, OH 43613-3574 | 2017-10-26 |
| 1174058895 | Steven Pabin | Pharmacist | 4925 Jackman Rd, Toledo, OH 43613-3574 | 2017-05-01 |
| 1700310471 | Patrick Amsdell | Pharmacist | 4925 Jackman Rd, Toledo, OH 43613-3574 | 2017-04-19 |
| 1396297537 | Total Renal Care Inc | Clinic/Center | 4925 Jackman Rd, Unit 59, Toledo, OH 43613-3574 | 2016-11-03 |
| 1790130797 | Kathleen Elyse Reinemeyer | Nurse Practitioner | 4925 Jackman Rd, Toledo, OH 43613-3574 | 2016-04-27 |
| 1831583855 | Accelerated Rehabilitation Centers, Ltd | Physical Therapist | 4925 Jackman Rd, Unit 34, Toledo, OH 43613-3574 | 2015-03-27 |
| 1093108227 | Lauren Tiell | Physical Therapist | 4925 Jackman Rd, Unit 34, Toledo, OH 43613-3574 | 2015-03-12 |
| 1134484678 | Kevin Michael Seyfried | Pharmacist | 4925 Jackman Rd, Toledo, OH 43613-3574 | 2012-07-11 |
| 1912123902 | Lina Barakat | Dietitian, Registered | 4925 Jackman Rd, The Little Clinic, Toledo, OH 43613-3574 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799537 | Christine Bulach Fleischman | Peer Specialist | 1701 West Sylvania Avenue, Toledo, OH 43613 | 2020-08-06 |
| 1891310488 | Tammy Lynn Wintersmith | Counselor | 1701 Sylvania Ave, Toledo, OH 43613 | 2020-06-10 |
| 1275167645 | Patrick Alan Grilliot | Counselor | 1701 W Sylvania Ave, Toledo, OH 43613 | 2020-02-25 |
| 1386152742 | Virgena Rose Nagel | Home Health | 4326 Garden Park, Toledo, OH 43613 | 2018-01-18 |
| 1184140550 | Horizon Science Academy Toledo | Local Education Agency (LEA) | 2600 W Sylvania Ave, Suite #: 109, Toledo, OH 43613 | 2017-08-17 |
| 1356861611 | Sherese R Bonaparte | Home Health Aide | 1928 Barrows St, Toledo, OH 43613 | 2017-06-27 |
| 1962953075 | Maureen Montes | Registered Nurse | Washington Jr High School, 5700 Whitmer Dr., Toledo, OH 43613 | 2016-10-24 |
| 1427504638 | From Us To You Home Health Care Agency LLC | Home Health | 4401 Douglas Rd., Toledo, OH 43613 | 2016-08-28 |
| 1730582487 | Shamyre Lynn Garner | Social Worker | 1776 Tremainsville Road, Toledo, OH 43613 | 2014-10-08 |
| 1356788939 | John M Netwon | Home Health Aide | 4905 Roywood, Toledo, OH 43613 | 2013-05-23 |
| Find all providers in zip 43613 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164983946 | Franklin Park Pharmacy LLC | Pharmacy | 4026 Secor Rd Ste 2, Toledo, OH 43623-4270 | 2019-03-26 |
| 1063924702 | United Drug Group LLC | Pharmacy | 1339 Dorr St, Toledo, OH 43607-4015 | 2017-11-03 |
| 1407194095 | Lifecare Pharmacy Corp | Pharmacy | 2011 Starr Ave, Toledo, OH 43605-2521 | 2013-01-16 |
| 1639434103 | Westgate Family Pharmacy Inc | Pharmacy | 3147 W Central Ave, Toledo, OH 43606-2923 | 2012-07-10 |
| 1366725863 | Toledo Family Pharmacy Inc | Pharmacy | 1601 W Sylvania Ave, Toledo, OH 43612-1532 | 2011-09-21 |
| 1659661528 | Pharmacy Counter, LLC | Pharmacy | 3144 W Central Ave, Toledo, OH 43606-2920 | 2011-04-13 |
| 1144410143 | Costco Wholesale Corporation | Pharmacy | 3405 W Central Ave, Toledo, OH 43606-1402 | 2007-07-26 |
| 1275678682 | Community Pharmacy Partners | Pharmacy | 2105 W Alexis Rd, Toledo, OH 43613-2256 | 2007-02-21 |
| 1780699710 | Walgreen Co | Pharmacy | 1330 N Reynolds Rd, Toledo, OH 43615-4760 | 2006-07-29 |
| 1326061284 | Moore Family Stores Inc. | Pharmacy | 104 Court House Sq, Toledo, IL 62468 | 2006-07-25 |
| Find all providers in TOLEDO | ||||
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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.