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KROGER PHARMACY
NPI 1013260785
Pharmacy - Community/Retail Pharmacy in Miamisburg, OH

Active since October 18, 2012CLIA Certified · 2 labs
10101 LANDING WAY, MIAMISBURG, OH 45342(937) 384-4220(937) 384-4221 Get Directions Write a Review

NPPES record last updated: February 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 4, 2020, May 16, 2016 (2 updates tracked since 2016).

About Kroger Pharmacy NPPES

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

KROGER PHARMACY (NPI 1013260785) is a healthcare organization registered as a community/retail pharmacy in Miamisburg, Ohio and active in the NPI registry since October 2012. The organization holds 2 active CLIA laboratory certificates and lists Jessie Warman, Manager Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1013260785
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER LIMITED PARTNERSHIP I
Location Address10101 LANDING WAYMiamisburg, OH 45342-1159
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(937) 384-4220
Fax(937) 384-4221
Organization SubpartNo
Authorized OfficialJessie WarmanManager Pharmacy Licensing · (513) 762-1090
Enumeration DateOctober 18, 2012
Last NPPES UpdateFebruary 4, 20202 updates tracked since enumeration
✔ NPI 1013260785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in OH · 022265500
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
10101 LANDING WAY, Miamisburg, OH 45342
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Other Names 1

Doing Business AsKroger Pharmacy

Other Identifiers 2

Medicaid0078566OH
Other2137488Pk

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 2

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 36D2053104

Kroger Pharmacy 014-722 · Miamisburg, OH
Active · expires Jan 24, 2027
CLIA Number36D2053104
Laboratory TypePharmacy
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorMichelle Izor
Laboratory Phone(937) 384-4220
Laboratory LocationKroger Pharmacy 014-72210101 Landing Way Attn Pharmacist In Charge, Miamisburg, OH 45342
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D1013345

Kroger Pharmacy 014-770 · Miamisburg, OH
Active · expires May 10, 2028
CLIA Number36D1013345
Laboratory TypePharmacy
Certificate Effective DateMay 11, 2026
Certificate Expiration DateMay 10, 2028
Laboratory DirectorMichelle Izor
Laboratory Phone(937) 560-0620
Laboratory LocationKroger Pharmacy 014-770255 North Heincke Road, Miamisburg, OH 45342
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.
176 services176 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.
174 services174 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
21 services21 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
19 services19 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Kroger Pharmacy #014722 carries, from the Medicare DMEPOS supplier directory.

Kroger Pharmacy #014722

DMEPOS supplier · Miamisburg, OHOperated by Kroger Limited Partnership I
✔

Accepts Medicare assignment

Kroger Pharmacy #014722 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)20597435
Medicare Participant SinceAugust 27, 2003
Supplier Location10101 Landing WayMiamisburg, OH 45342
Phone(937) 384-4220
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 4

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

DR. JOEL DAVID AYLOR PHARM.D.
Pharmacist
10101 LANDING WAY
MIAMISBURG, OH 45342
Montgomery County (937) 384-4220
SUSAN ROUSH R.PH.
Pharmacist
10101 LANDING WAY
MIAMISBURG, OH 45342
Montgomery County (937) 384-4220
SARFARAZ AHMED
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
10101 LANDING WAY
MIAMISBURG, OH 45342
Montgomery County (937) 384-4220
MICHAEL JEREMY BARGER PHARMD
Pharmacist
10101 LANDING WAY
MIAMISBURG, OH 45342
Montgomery County (937) 384-4220

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 1013260785. It was assigned to this organization in the NPPES registry on October 18, 2012. The provider is doing business as Kroger Pharmacy.

Where is Kroger Limited Partnership I located?

Kroger Limited Partnership I is located at 10101 Landing Way, Miamisburg, OH 45342. The listed phone number is (937) 384-4220.

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 Pharmacy #014722 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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 44 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 February 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.