THE KROGER CO (NPI# 1831123660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831123660 |
| Entity Type | Organization |
| Organization Name | THE KROGER CO |
| Other Organization Name | KROGER PHARMACY |
| Practice Address |
1355 S Park St Carrollton GA 30117-4433 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 7708329015 |
| Practice Fax Number | 7708305524 |
| Mailing Telephone | 5137621019 |
| Mailing Fax Number | 5137621092 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2016-05-16 |
| Authorized Official Name | ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING) |
| Authorized Official Telephone | 5137621019 |
| 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 |
6850 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2015505 | 01 | |
| GA | 00357178A | 05 |
| 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 |
1355 S PARK ST |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-4433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470982 | Marie Roop | Pharmacist | 1355 S Park St, Carrollton, GA 30117-4400 | 2020-06-01 |
| 1477185643 | Brittney Hall | Pharmacist | 1355 S Park St, Carrollton, GA 30117-4433 | 2020-02-06 |
| 1316577174 | Vicki Diane Cowart | Pharmacist | 1355 S Park St, Carrollton, GA 30117-4433 | 2020-01-21 |
| 1124658190 | Joshua Hartsell | Pharmacist | 1355 S Park St, Carrollton, GA 30117-4433 | 2020-01-18 |
| 1215415294 | Corshonta Wooden | Nurse Practitioner | 1355 S Park St, Carrollton, GA 30117-4433 | 2018-08-01 |
| 1962908541 | Hope Elizabeth Nichols | Nurse Practitioner | 1355 S Park St, Carrollton, GA 30117-4433 | 2018-04-03 |
| 1477945327 | Tlc of Georgia LLC | Nurse Practitioner | 1355 S Park St, Carrollton, GA 30117-4433 | 2015-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| 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 |
|---|---|---|---|---|
| 1316565880 | Ams Health Inc | Pharmacy | 4541 N Josey Ln Ste 250, Carrollton, TX 75010-4781 | 2020-07-10 |
| 1386203933 | Neo Texas LLC | Pharmacy | 1933 E Frankford Rd Ste 120, Carrollton, TX 75007-5394 | 2019-06-07 |
| 1548745219 | Locus Health, LLC | Pharmacy | 1205 N Josey Ln Ste B, Carrollton, TX 75006-6145 | 2018-09-28 |
| 1457848004 | Hillcrest Pharmacy, LLC | Pharmacy | 3065 N Josey Ln Ste 60, Carrollton, TX 75007-5348 | 2018-04-19 |
| 1043742737 | Sas Pharmacy Inc. | Pharmacy | 1205 N Josey Ln Ste 200a, Carrollton, TX 75006-6145 | 2017-03-31 |
| 1295140572 | B-pharm, Inc | Pharmacy | 1003 Highway 65 North, Suite B, Carrollton, MO 64633 | 2014-06-25 |
| 1639590995 | Agateno Technologies LLC | Pharmacy | 3648 Old Denton Rd Ste 104, Carrollton, TX 75007-7977 | 2014-01-03 |
| 1407129968 | Baylor Health Enterprises Lp | Pharmacy | 4323 N Josey Ln Ste 102, Carrollton, TX 75010-4630 | 2012-02-14 |
| 1215012570 | Texas Hematology/oncology Center, Pa | Pharmacy | 4352 North Josey Lane, Carrollton, TX 75010 | 2006-10-26 |
| 1083718860 | Cvs Pharmacy Inc | Pharmacy | 3065 N Josey Ln, Suite 64, Carrollton, TX 75007-5340 | 2006-09-12 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on THE KROGER CO.
| 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.