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KROGER PHARMACY
NPI 1013941855
Pharmacy - Community/Retail Pharmacy in Canton, GA

Active since July 10, 2006CLIA Certified · 2 labs
4045 MARIETTA HWY, CANTON, GA 30114(770) 345-3645(770) 345-0101 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kroger Pharmacy NPPES

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

KROGER PHARMACY (NPI 1013941855) is a healthcare organization registered as a community/retail pharmacy in Canton, Georgia and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1013941855
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTHE KROGER CO
Location Address4045 MARIETTA HWYCanton, GA 30114-8600
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(770) 345-3645
Fax(770) 345-0101
Organization SubpartNo
Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateJuly 10, 2006
Last NPPES UpdateMay 16, 2016
✔ NPI 1013941855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in GA · 7787
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
4045 MARIETTA HWY, Canton, GA 30114
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Other Names 1

Doing Business AsKroger Pharmacy

Other Identifiers 5

Medicare PINFLU346
Medicare PINP00003265
Other2019010Pk
Medicaid00624885AGA
Medicare NSC0302060592

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 11D2118673

Kroger Pharmacy #402 · Canton, GA
Active · expires Sep 12, 2026
CLIA Number11D2118673
Laboratory TypePharmacy
Certificate Effective DateSeptember 13, 2024
Certificate Expiration DateSeptember 12, 2026
Laboratory DirectorChuck Page
Laboratory Phone(770) 345-3645
Laboratory LocationKroger Pharmacy #4024045 Marietta Highway, Canton, GA 30114
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 11D0983260

Kroger Pharmacy #419 · Canton, GA
Active · expires Sep 14, 2026
CLIA Number11D0983260
Laboratory TypePharmacy
Certificate Effective DateSeptember 15, 2024
Certificate Expiration DateSeptember 14, 2026
Laboratory DirectorChuck Page
Laboratory Phone(770) 345-3645
Laboratory LocationKroger Pharmacy #41912050 Highway 92 Suite 112, Canton, GA 30114
CLIA data matches this NPI record on: Name 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.
131 services126 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.
126 services121 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories The Kroger Co carries, from the Medicare DMEPOS supplier directory.

The Kroger Co

DMEPOS supplier · Canton, GA
✔

Accepts Medicare assignment

The Kroger Co 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)20304707
Medicare Participant SinceOctober 18, 2023
Supplier Location4045 Marietta HwyCanton, GA 30114
Phone(770) 345-3645
Supplier Specialties
Pharmacy Grocery Store

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.

EMILIE LOBECK PHARM.D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4045 MARIETTA HWY
CANTON, GA 30114
Cherokee County (770) 345-3645
KAREN MARIE NORRIS RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4045 MARIETTA HWY
CANTON, GA 30114
Cherokee County (770) 345-3645
DR. JAMES BYRON RODGERS JR. PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4045 MARIETTA HWY
CANTON, GA 30114
Cherokee County (770) 345-3646

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 The Kroger Co's NPI number?

The NPI number for The Kroger Co is 1013941855. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider is doing business as Kroger Pharmacy.

Where is The Kroger Co located?

The Kroger Co is located at 4045 Marietta Hwy, Canton, GA 30114. The listed phone number is (770) 345-3645.

What is The Kroger Co's specialty?

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

Does The Kroger Co accept Medicare assignment for medical equipment?

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

Does The Kroger Co 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 The Kroger Co 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 The Kroger Co 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 The Kroger Co was last updated on May 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.