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KROGER PHARMACY #29540
NPI 1033459995
Pharmacy - Community/Retail Pharmacy in Virginia Beach, VA

Active since February 28, 2013CLIA 49D2063458 · Waiver
3901 HOLLAND RD, VIRGINIA BEACH, VA 23452(757) 995-0401(757) 995-0402 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kroger Pharmacy #29540 NPPES

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

KROGER PHARMACY #29540 (NPI 1033459995) is a healthcare organization registered as a community/retail pharmacy in Virginia Beach, Virginia and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through August 1, 2027 and lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1033459995
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER LIMITED PARTNERSHIP I
Location Address3901 HOLLAND RDVirginia Beach, VA 23452-2804
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(757) 995-0401
Fax(757) 995-0402
Organization SubpartNo
Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateFebruary 28, 2013
Last NPPES UpdateJuly 28, 2016
✔ NPI 1033459995 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 VA · 0201004522
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
3901 HOLLAND RD, Virginia Beach, VA 23452
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Other Names 1

Doing Business AsKroger Pharmacy #29540

Other Identifiers 4

Medicaid1033459995VA
Medicare PIN880000181
Medicare NSC1193770721
Other2139231Pk

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 49D2063458

Kroger Pharmacy #540 · Virginia Beach, VA
Active · expires Aug 1, 2027
CLIA Number49D2063458
Laboratory TypePharmacy
Certificate Effective DateAugust 2, 2025
Certificate Expiration DateAugust 1, 2027
Laboratory DirectorRoseanne Burke
Laboratory Phone(757) 995-0401
Laboratory LocationKroger Pharmacy #5403901 Holland Road Attn Pharmacist In Charge, Virginia Beach, VA 23452
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 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.
196 services196 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.
178 services178 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.
27 services27 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.
27 services27 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Kroger Pharmacy #540 carries, from the Medicare DMEPOS supplier directory.

Kroger Pharmacy #540

DMEPOS supplier · Virginia Beach, VAOperated by Kroger Limited Partnership I
✔

Accepts Medicare assignment

Kroger Pharmacy #540 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)20596619
Medicare Participant SinceAugust 27, 2003
Supplier Location3901 Holland RdVirginia Beach, VA 23452
Phone(757) 995-0401
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. RENATO H GECOLEA M.D.
Family Medicine
3901 HOLLAND RD
VIRGINIA BEACH, VA 23452
Virginia Beach City (757) 463-0560
LAWREN WILLIAMSON FNP
Nurse Practitioner
3901 HOLLAND RD
VIRGINIA BEACH, VA 23452
Virginia Beach City (757) 995-0413
DR. KYLE E CROWELL PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3901 HOLLAND RD
VIRGINIA BEACH, VA 23452
Virginia Beach City (757) 995-0401
KATHRYN HAWSE
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3901 HOLLAND RD
VIRGINIA BEACH, VA 23452
Virginia Beach City (757) 995-0401

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 1033459995. It was assigned to this organization in the NPPES registry on February 28, 2013. The provider is doing business as Kroger Pharmacy #29540.

Where is Kroger Limited Partnership I located?

Kroger Limited Partnership I is located at 3901 Holland Rd, Virginia Beach, VA 23452. The listed phone number is (757) 995-0401.

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 #540 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 49D2063458) is associated with this NPI, valid through August 1, 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 43 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 July 28, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.