KROGER PHARMACY (KROGER LIMITED PARTNERSHIP I) NPI 1013139112

Pharmacy (Community/Retail Pharmacy) in Nashville, TN

NPI 1013139112 Organization Pharmacy Community/Retail Pharmacy Medicare Supplier Accepts Medicare Approved Payment CLIA Number 44D2000929 CLIA Certificate of Waiver

About KROGER PHARMACY (KROGER LIMITED PARTNERSHIP I)

Kroger Pharmacy (kroger Limited Partnership I) is a provider established in Nashville, Tennessee specializing in pharmacy (community/retail pharmacy) . The NPI number of Kroger Pharmacy (kroger Limited Partnership I) is 1013139112 and was assigned on May 2007. The practitioner's primary taxonomy code is 3336C0003X with license number 4402 (TN). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Kroger Pharmacy. The authorized official of this NPI record is Allison Muennich (Manager Of Pharmacy Licensing)

Kroger Pharmacy is a medicare supplier with PTAN 1193770673 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Enteral Equipment and/or Supplies or Immunosuppressive Drugs or Oral Antiemetic Drugs or Commodes, Urinals, Bedpans or Walkers or Canes and/or Crutches or Enteral Nutrients or Ostomy Supplies or Nebulizer Equipment and/or Supplies or Nebulizer Drugs or Surgical Dressings or Oral Anticancer Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order) or Urological Supplies.

The CLIA number of Kroger Pharmacy is 44D2000929 registered as a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Kroger Pharmacy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1013139112

Provider NameKROGER PHARMACY (KROGER LIMITED PARTNERSHIP I)
Provider Location Address711 GALLATIN AVE NASHVILLE, TN 37206
Provider Mailing AddressPO BOX 842772 BOSTON, MA 02284
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameKROGER PHARMACY
Other Name TypeDoing Business As (3)
Enumeration Date05-02-2007
Last Update Date05-16-2016


Primary Taxonomy

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.4402
License StateTN
Taxonomy DescriptionA 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.

Business Address

KROGER PHARMACY
711 GALLATIN AVE
NASHVILLE, TN
ZIP 37206
Phone: (615) 227-0296
Fax: (615) 228-7942

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Mailing Address

KROGER PHARMACY
PO BOX 842772
BOSTON, MA
ZIP 02284
Phone: (513) 762-1019
Fax: (513) 762-1092



Authorized Official

Authorized Official Name ALLISON MUENNICH
Authorized Official TitleMANAGER OF PHARMACY LICENSING
Authorized Official Phone(513) 762-1019

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN1193770673
Accepts Medicare AssignmentYES
Specialities ListPharmacy.
Supplies List
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Enteral Nutrients - Enteral formula
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
  • Oral Anticancer Drugs - FDA anticancer drugs
  • 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
  • Urological Supplies - Catheters, Urinary collection devices
Competitive BiddingNO

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1013139112 is:

CLIA Number44D2000929
Facility TypePHARMACY
Certificate TypeCertificate of Waiver

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2095183OTHER (01)
870023554MEDICARE PIN (08)
3913543MEDICARE PIN (08)
1193770673MEDICARE NSC (07)

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457983058 SARA GLAZER RPH
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)711 GALLATIN AVE
NASHVILLE, TN 37206
(615) 227-0296

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.