KROGER PHARMACY
NPI 1104850908
Pharmacy - Community/Retail Pharmacy in Columbus, OH

Q: What is The Kroger Co's NPI number?

The NPI number for The Kroger Co is 1104850908. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider is doing business as Kroger Pharmacy.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for The Kroger Co was last updated on February 5, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 10, 2006CLIA Certified · 5 labs

2000 E MAIN ST, COLUMBUS, OH 43205(614) 252-1064(614) 358-3483 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 5, 2020, May 16, 2016 (2 updates tracked since 2016).

On this page

About Kroger Pharmacy NPPES

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

KROGER PHARMACY (NPI 1104850908) is a healthcare organization registered as a community/retail pharmacy in Columbus, Ohio and active in the NPI registry since July 2006. The organization holds 5 active CLIA laboratory certificates and lists Jessie Warman, Manager Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1104850908

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameTHE KROGER CO

Location Address2000 E MAIN STColumbus, OH 43205-1629

Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092

Phone(614) 252-1064

Fax(614) 358-3483

Organization SubpartNo

Authorized OfficialJessie WarmanManager Pharmacy Licensing · (513) 762-1090

Enumeration DateJuly 10, 2006

Last NPPES UpdateFebruary 5, 20202 updates tracked since enumeration

✔ NPI 1104850908 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 OH · 020174600

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

2000 E MAIN ST, Columbus, OH 43205

Open in Google Maps ↗

Other Names 1

Doing Business AsKroger Pharmacy

Other Identifiers 2

Other2075741Pk

Medicaid0462119OH

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 6

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 36D2011465

Kroger Pharmacy #315 · Columbus, OH

Active · expires Aug 16, 2026

CLIA Number36D2011465

Laboratory TypePharmacy

Certificate Effective DateAugust 17, 2024

Certificate Expiration DateAugust 16, 2026

Laboratory DirectorJeff Steckman

Laboratory Phone(614) 252-1064

Laboratory LocationKroger Pharmacy #3152000 East Main Street, Columbus, OH 43205

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 36D2112424

Kroger Pharmacy #16-818 · Columbus, OH

Active · expires Apr 27, 2028

CLIA Number36D2112424

Laboratory TypePharmacy

Certificate Effective DateApril 28, 2026

Certificate Expiration DateApril 27, 2028

Laboratory DirectorJeff Steckman

Laboratory Phone(614) 326-5650

Laboratory LocationKroger Pharmacy #16-8182090 Crown Plaza Dr, Columbus, OH 43220

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D1075828

Kroger Pharmacy #593 · Columbus, OH

Active · expires Nov 26, 2027

CLIA Number36D1075828

Laboratory TypePharmacy

Certificate Effective DateNovember 27, 2025

Certificate Expiration DateNovember 26, 2027

Laboratory DirectorJeff Steckman

Laboratory Phone(614) 438-5751

Laboratory LocationKroger Pharmacy #5931745 Morse Road, Columbus, OH 43229

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2029158

Kroger Pharmacy #587 · Columbus, OH

Active · expires Aug 31, 2027

CLIA Number36D2029158

Laboratory TypePharmacy

Certificate Effective DateSeptember 1, 2025

Certificate Expiration DateAugust 31, 2027

Laboratory DirectorJeff Steckman

Laboratory Phone(614) 294-1696

Laboratory LocationKroger Pharmacy #5871350 North High Street, Columbus, OH 43201

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D1062311

Kroger Pharmacy #942 · Columbus, OH

Active · expires Dec 11, 2026

CLIA Number36D1062311

Laboratory TypePharmacy

Certificate Effective DateDecember 12, 2024

Certificate Expiration DateDecember 11, 2026

Laboratory DirectorJeff Steckman

Laboratory Phone(614) 488-4062

Laboratory LocationKroger Pharmacy #9421375 Chambers Road, Columbus, OH 43212

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D1062935

Kroger Pharmacy #839 · Columbus, OH

Expired · Jul 27, 2026

CLIA Number36D1062935

Laboratory TypePharmacy

Certificate Effective DateJuly 28, 2024

Certificate Expiration DateJuly 27, 2026

Laboratory DirectorJeff Steckman

Laboratory Phone(614) 430-2445

Laboratory LocationKroger Pharmacy #8391177 Polaris Parkway, Columbus, OH 43240

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.

99 services98 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.

93 services92 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.

13 services13 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.

13 services13 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Kroger Pharmacy #315 carries, from the Medicare DMEPOS supplier directory.

Kroger Pharmacy #315

DMEPOS supplier · Columbus, OHOperated by The Kroger Co

✔

Accepts Medicare assignment

Kroger Pharmacy #315 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)20303819

Medicare Participant SinceOctober 18, 2023

Supplier Location2000 E Main StColumbus, OH 43205

Phone(614) 252-1064

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 8

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

PEE K LEE RPH

Pharmacist