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KROGER PHARMACY #093
NPI 1003354861
Pharmacy - Community/Retail Pharmacy in Nashville, TN

Active since February 01, 2017CLIA 44D2131095 · Waiver
2694 FESSEY CT, NASHVILLE, TN 37204(615) 600-3854(615) 600-3856 Get Directions Write a Review

NPPES record last updated: April 25, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 25, 2017, Feb 1, 2017 (2 updates tracked since 2017).

About Kroger Pharmacy #093 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KROGER PHARMACY #093 (NPI 1003354861) is a healthcare organization registered as a community/retail pharmacy in Nashville, Tennessee and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through May 22, 2027 and lists Mendi Prow, Pharmacy Licensing Asp, as its authorized official.

NPPES Registry Identity

NPI1003354861
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER LIMITED PARTNERSHIP I
Location Address2694 FESSEY CTNashville, TN 37204-2813
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019
Phone(615) 600-3854
Fax(615) 600-3856
Organization SubpartNo
Authorized OfficialMendi ProwPharmacy Licensing Asp · (513) 762-1263
Enumeration DateFebruary 1, 2017
Last NPPES UpdateApril 25, 20172 updates tracked since enumeration
✔ NPI 1003354861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
2694 FESSEY CT, Nashville, TN 37204
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Other Names 1

Doing Business AsKroger Pharmacy #093

Other Identifiers 1

Other2167579Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2131095

Kroger Pharmacy #26-093 · Nashville, TN
Active · expires May 22, 2027
CLIA Number44D2131095
Laboratory TypePharmacy
Certificate Effective DateMay 23, 2025
Certificate Expiration DateMay 22, 2027
Laboratory DirectorBrenda Barnes
Laboratory Phone(615) 600-3854
Laboratory LocationKroger Pharmacy #26-0932694 Fessey Court, Nashville, TN 37204
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
27 services27 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
26 services26 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Kroger Limited Partnership I carries, from the Medicare DMEPOS supplier directory.

Kroger Limited Partnership I

DMEPOS supplier · Nashville, TN
✔

Accepts Medicare assignment

Kroger Limited Partnership I agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20597243
Medicare Participant SinceAugust 27, 2003
Supplier Location2694 Fessey CtNashville, TN 37204
Phone(615) 600-3854
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEANNE JUSTIS REIN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2694 FESSEY CT
NASHVILLE, TN 37204
Davidson County (615) 600-3854
SHANNON C HALL, LLC
Chiropractor
2694 FESSEY CT
NASHVILLE, TN 37204
Davidson County (615) 875-3350
MICHAEL HARLAND PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2694 FESSEY CT
NASHVILLE, TN 37204
Davidson County (615) 600-3854

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kroger Limited Partnership I's NPI number?

The NPI number for Kroger Limited Partnership I is 1003354861. It was assigned to this organization in the NPPES registry on February 1, 2017. The provider is doing business as Kroger Pharmacy #093.

Where is Kroger Limited Partnership I located?

Kroger Limited Partnership I is located at 2694 Fessey Ct, Nashville, TN 37204. The listed phone number is (615) 600-3854.

What is Kroger Limited Partnership I's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Kroger Limited Partnership I accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Kroger Limited Partnership I accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Kroger Limited Partnership I hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2131095) is associated with this NPI, valid through May 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kroger Limited Partnership I accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 46 other insurers list Kroger Limited Partnership I as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kroger Limited Partnership I was last updated on April 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.