THE KROGER CO (NPI# 1952335663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952335663 |
| Entity Type | Organization |
| Organization Name | THE KROGER CO |
| Other Organization Name | KROGER PHARMACY |
| Practice Address |
1060 Ashland Rd Mansfield OH 44905-2157 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 4195893693 |
| Practice Fax Number | 4195894024 |
| Mailing Telephone | 5137621019 |
| Mailing Fax Number | 5137621092 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | JESSIE WARMAN (MANAGER OF PHARMACY LICENSING) |
| Authorized Official Telephone | 5137621090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
021233050 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2195619 | 05 | |
| PK | 2077690 | 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 |
| 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 |
| Virginia Business Entities | The Kroger Co. Foundation | 1014 Vine Street, Cincinnati, Ohio 45202 |
| Street Address |
1060 ASHLAND RD |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44905-2157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811414725 | John Charles Kamenik | Pharmacist | 1060 Ashland Rd, Mansfield, OH 44905-2157 | 2017-08-23 |
| 1497280242 | Joseph Baker | Pharmacist | 1060 Ashland Rd, Mansfield, OH 44905-2157 | 2017-04-28 |
| 1417482563 | Beth Pfeiffer | Pharmacist | 1060 Ashland Rd, Mansfield, OH 44905-2157 | 2017-04-26 |
| 1871927954 | Jacob Weyrauch | Pharmacist | 1060 Ashland Rd, Kroger Pharmacy, Mansfield, OH 44905-2157 | 2013-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578189908 | Beth Ann Sommers-souder | Social Worker | Richland Correctional Institute, 1001 Olivesburg Road, Mansfield, OH 44905 | 2020-06-22 |
| 1790253706 | Alanna Dawn Higgins | Massage Therapist | 981 Ashland Road, Mansfield, OH 44905 | 2018-11-07 |
| 1669991766 | Heather Michelle Hedges | Counselor | 8 Walker Avenue South, Mansfield, OH 44905 | 2017-09-11 |
| 1356699201 | Justin Clark Tolley | Home Health Aide | 1211 Keller Dr., Mansfield, OH 44905 | 2012-08-27 |
| 1891972683 | Theresa Ann Bonnette | Massage Therapist | 812 Park Avenue East, Mansfield, OH 44905 | 2008-01-24 |
| 1730673336 | Kristine King | Pharmacist | 1075 Ashland Road, Mansfield, OH 44905 | 2018-06-18 |
| 1881030849 | Uma Ram | Pharmacist | 1075 Ashland Road, Mansfield, OH 44905 | 2013-05-17 |
| 1982919288 | Monica Sue Medley | Driver | 516 Fleming Falls Rd, Mansfield, OH 44905-1207 | 2010-08-11 |
| 1962622738 | Kenneth Dean Williams | General Practice | 1001 Olivesburg Rd, Mansfield, OH 44905-1228 | 2007-04-26 |
| 1962880328 | Danny Allen Hall | Physician Assistant | 1001 Olivesburg Rd, Mansfield, OH 44905-1228 | 2015-05-18 |
| Find all providers in zip 44905 | ||||
| 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] |
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|---|---|---|---|---|
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| 1992104194 | Shatiff Pharmacy Inc | Pharmacy | 2771 E Broad St Ste 219, Mansfield, TX 76063-9157 | 2014-08-14 |
| 1124459870 | Melrose Pharmacy LLC | Pharmacy | 2860 Highway 157 N Ste 120, Mansfield, TX 76063-8883 | 2013-12-06 |
| 1205922457 | Coles Pharmacy | Pharmacy | 2 S Main Street, Mansfield, PA 16933-1508 | 2006-10-05 |
| 1043311509 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 197 N Main St, Mansfield, PA 16933-1311 | 2006-09-26 |
| 1467551838 | Cvs Pharmacy Inc | Pharmacy | 261 Chauncy St, Mansfield, MA 02048-1247 | 2006-09-22 |
| 1427156272 | Cvs Pharmacy Inc | Pharmacy | 2882 N Fm 157, Mansfield, TX 76063 | 2006-09-20 |
| 1245334036 | Cvs Pharmacy Inc | Pharmacy | 1100 N Walnut Creek Dr, Mansfield, TX 76063-2502 | 2006-09-12 |
| 1063515765 | Ohio Cvs Stores LLC | Pharmacy | 1411 Lexington Ave, Mansfield, OH 44907-2629 | 2006-09-07 |
| 1679588644 | Walgreen Co | Pharmacy | 750 N Walnut Creek Dr, Mansfield, TX 76063-3208 | 2006-07-29 |
| Find all providers in MANSFIELD | ||||
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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.