KROGER PHARMACY
NPI 1093749822
Pharmacy - Community/Retail Pharmacy in Acworth, GA

Active since July 10, 2006CLIA 11D0983372 · Waiver
3330 COBB PKWY NW, ACWORTH, GA 30101(770) 975-8776(770) 975-4326 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kroger Pharmacy NPPES

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

KROGER PHARMACY (NPI 1093749822) is a healthcare organization registered as a community/retail pharmacy in Acworth, Georgia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 14, 2026 and lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1093749822
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTHE KROGER CO
Location Address3330 COBB PKWY NWAcworth, GA 30101-8320
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Fax(770) 975-4326
Organization SubpartNo
Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateJuly 10, 2006
Last NPPES UpdateMay 16, 2016
NPI 1093749822 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 · 7252
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
3330 COBB PKWY NW, Acworth, GA 30101

Other Names 1

Doing Business AsKroger Pharmacy

Other Identifiers 5

Medicare NSC0302060243
Medicaid00444969AGA
Medicare PINP00003265
Other2017520Pk
Medicare PINFLU346

Accepted 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 11D0983372

Kroger Pharmacy #397 · Acworth, GA
Active · expires Sep 14, 2026
CLIA Number11D0983372
Laboratory TypePharmacy
Certificate Effective DateSeptember 15, 2024
Certificate Expiration DateSeptember 14, 2026
Laboratory DirectorChuck Page
Laboratory Phone(770) 975-8776
Laboratory LocationKroger Pharmacy #3973330 Cobb Parkway, Acworth, GA 30101
CLIA data matches this NPI record on: Address 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 2024 & 2026 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.
114 services113 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.
110 services109 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Kroger Pharmacy #397 carries, from the Medicare DMEPOS supplier directory.

Kroger Pharmacy #397

DMEPOS supplier · Acworth, GAOperated by The Kroger Co

Accepts Medicare assignment

Kroger Pharmacy #397 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)20303993
Medicare Participant SinceOctober 18, 2023
Supplier Location3330 Cobb Pkwy NWAcworth, GA 30101
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.

Chiropractor
3330 COBB PKWY NW, SUITE 332
ACWORTH, GA 30101
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3330 COBB PKWY NW
ACWORTH, GA 30101
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3330 COBB PKWY NW
ACWORTH, GA 30101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093749822, enumerated as an "organization" on July 10, 2006.

The provider is located at 3330 COBB PKWY NW ACWORTH, GA 30101 and the phone number is (770) 975-8776.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.