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KROGER SPECIALTY PHARMACY CA 3
NPI 1184649782
Pharmacy in Irvine, CA

Active since July 13, 2006
1821 KAISER AVE, IRVINE, CA 92614(855) 733-3126(888) 315-3270 Get Directions Write a Review

NPPES record last updated: May 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2020, Oct 1, 2019, Oct 1, 2018 and 4 more (7 updates tracked since 2016).

About Kroger Specialty Pharmacy Ca 3 NPPES

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

KROGER SPECIALTY PHARMACY CA 3 (NPI 1184649782) is a healthcare organization registered as a pharmacy in Irvine, California and active in the NPI registry since July 2006. The organization lists Debra J Cole, Vice President, as its authorized official.

NPPES Registry Identity

NPI1184649782
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameKROGER SPECIALTY PHARMACY, INC.
Location Address1821 KAISER AVEIrvine, CA 92614-5707
Mailing Address1821 Kaiser AveIrvine, CA 92614-5707 · (855) 733-3126 · Fax (888) 315-3270
Phone(855) 733-3126
Fax(888) 315-3270
Organization SubpartNo
Authorized OfficialDebra J ColeVice President · (855) 733-3126
Enumeration DateJuly 13, 2006
Last NPPES UpdateMay 8, 20207 updates tracked since enumeration
NPPES CertifiedMay 8, 2020
✔ NPI 1184649782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X · License PHY51548 (CA)
1821 KAISER AVE, Irvine, CA 92614
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Other Names 1

Doing Business AsKroger Specialty Pharmacy Ca 3

Other Identifiers 10

Medicaid1626534AK
Medicaid60000708NM
Medicaid1184649782CA
Medicaid140622100WY
Medicaid7176839MT
Medicaid2043938WA
Medicaid092265AZ
Medicaid94789061CO
Medicaid1184649782UT
Medicaid1184649782ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES

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

LINH YOUN PHARMD
Pharmacist
1821 KAISER AVE
IRVINE, CA 92614
Orange County (949) 885-9832

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 Specialty Pharmacy, Inc.'s NPI number?

The NPI number for Kroger Specialty Pharmacy, Inc. is 1184649782. It was assigned to this organization in the NPPES registry on July 13, 2006. The provider is doing business as Kroger Specialty Pharmacy Ca 3.

Where is Kroger Specialty Pharmacy, Inc. located?

Kroger Specialty Pharmacy, Inc. is located at 1821 Kaiser Ave, Irvine, CA 92614. The listed phone number is (855) 733-3126.

What is Kroger Specialty Pharmacy, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does Kroger Specialty Pharmacy, Inc. accept?

Health plans from Moda Health Plan, Inc. list Kroger Specialty Pharmacy, Inc. 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 Specialty Pharmacy, Inc. was last updated on May 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.