1. Home
  2. Directory
  3. Kentucky
  4. Lexington
  5. Pharmacy
  6. NPI Profile

KROGER PHARMACY
NPI 1205860020
Pharmacy - Community/Retail Pharmacy in Lexington, KY

Active since July 10, 2006CLIA Certified · 4 labs
704 E EUCLID AVE, LEXINGTON, KY 40502(859) 266-3331(859) 266-8868 Get Directions Write a Review

NPPES record last updated: February 5, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kroger Pharmacy NPPES

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

KROGER PHARMACY (NPI 1205860020) is a healthcare organization registered as a community/retail pharmacy in Lexington, Kentucky and active in the NPI registry since July 2006. The organization holds 4 active CLIA laboratory certificates and lists Zach Stone, Pharmacy Licensing Manager, as its authorized official.

NPPES Registry Identity

NPI1205860020
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER LIMITED PARTNERSHIP I
Location Address704 E EUCLID AVELexington, KY 40502-1740
Mailing Address1600 Ormsby Station CtLouisville, KY 40223-4039 · (502) 423-4113 · Fax (502) 423-4176
Phone(859) 266-3331
Fax(859) 266-8868
Organization SubpartNo
Authorized OfficialZach StonePharmacy Licensing Manager · (513) 762-1019
Enumeration DateJuly 10, 2006
Last NPPES UpdateFebruary 5, 2014
✔ NPI 1205860020 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 KY · 1775
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
704 E EUCLID AVE, Lexington, KY 40502
Open in Google Maps ↗

Other Names 1

Doing Business AsKroger Pharmacy

Other Identifiers 5

Medicaid54019344KY
Medicare PINP00098349
Medicare PINFLU0256
Other2030537Pk
Medicare NSC1193770202

CLIA Laboratory Certificates CMS CLIA 4

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 18D2095622

Kroger Pharmacy #784 · Lexington, KY
Active · expires May 7, 2027
CLIA Number18D2095622
Laboratory TypePharmacy
Certificate Effective DateMay 8, 2025
Certificate Expiration DateMay 7, 2027
Laboratory DirectorMs. Phelirisima Roberts
Laboratory Phone(859) 687-3270
Laboratory LocationKroger Pharmacy #784704 E Euclid Ave, Lexington, KY 40502
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D1001277

Kroger Pharmacy L-309 · Louisville, KY
Active · expires Jul 7, 2028
CLIA Number18D1001277
Laboratory TypePharmacy
Certificate Effective DateJuly 8, 2026
Certificate Expiration DateJuly 7, 2028
Laboratory DirectorMs. Phelirisima Roberts
Laboratory Phone(502) 327-0456
Laboratory LocationKroger Pharmacy L-3099812 Linn Station Road, Louisville, KY 40223
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2000717

Kroger Pharmacy L-371 · Lexington, KY
Active · expires Dec 3, 2027
CLIA Number18D2000717
Laboratory TypePharmacy
Certificate Effective DateDecember 4, 2025
Certificate Expiration DateDecember 3, 2027
Laboratory DirectorMs. Phelirisima Roberts
Laboratory Phone(859) 223-0959
Laboratory LocationKroger Pharmacy L-3713650 Boston Road, Lexington, KY 40514
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2000428

Kroger Pharmacy L-737 · Lexington, KY
Active · expires Nov 30, 2027
CLIA Number18D2000428
Laboratory TypePharmacy
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorMs. Phelirisima Roberts
Laboratory Phone(859) 335-2380
Laboratory LocationKroger Pharmacy L-7371060 Chinoe Rd Suite 190, Lexington, KY 40502
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 1205860020. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider is doing business as Kroger Pharmacy.

Where is Kroger Limited Partnership I located?

Kroger Limited Partnership I is located at 704 E Euclid Ave, Lexington, KY 40502. The listed phone number is (859) 266-3331.

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 hold CLIA laboratory certificates?

Yes. 4 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.

When was this NPI record last updated?

The NPPES record for Kroger Limited Partnership I was last updated on February 5, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.