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KROGER PHARMACY N-562
NPI 1245264035
Pharmacy - Community/Retail Pharmacy in Wheeling, WV

Active since July 10, 2006CLIA 51D1056511 · Waiver
200 MOUNT DE CHANTAL RD, WHEELING, WV 26003(304) 233-5485(304) 233-5487 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, Aug 6, 2019, Apr 18, 2018 and 1 more (4 updates tracked since 2016).

About Kroger Pharmacy N-562 NPPES

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

KROGER PHARMACY N-562 (NPI 1245264035) is a healthcare organization registered as a community/retail pharmacy in Wheeling, West Virginia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 13, 2026 and lists Jessie Warman, Manager Rx Licensing, as its authorized official.

NPPES Registry Identity

NPI1245264035
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTHE KROGER CO
Location Address200 MOUNT DE CHANTAL RDWheeling, WV 26003-6563
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(304) 233-5485
Fax(304) 233-5487
Organization SubpartNo
Authorized OfficialJessie WarmanManager Rx Licensing · (513) 762-1090
Enumeration DateJuly 10, 2006
Last NPPES UpdateFebruary 5, 20204 updates tracked since enumeration
✔ NPI 1245264035 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 WV · MP0552198
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
200 MOUNT DE CHANTAL RD, Wheeling, WV 26003
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Other Names 1

Doing Business AsKroger Pharmacy N-562

Other Identifiers 4

Medicaid0013178021WV
Medicaid2044899OH
Other2111317Pk
Medicaid0015394000004PA

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 51D1056511

Kroger Pharmacy # 562 · Wheeling, WV
Active · expires Oct 13, 2026
CLIA Number51D1056511
Laboratory TypePharmacy
Certificate Effective DateOctober 14, 2024
Certificate Expiration DateOctober 13, 2026
Laboratory DirectorJeff Steckman
Laboratory Phone(304) 233-5485
Laboratory LocationKroger Pharmacy # 562200 Mt De Chantal Road, Wheeling, WV 26003
CLIA data matches this NPI record on: 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.
161 services160 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.
149 services148 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.
21 services21 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.
21 services21 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Kroger Pharmacy 202 carries, from the Medicare DMEPOS supplier directory.

Kroger Pharmacy 202

DMEPOS supplier · Wheeling, WVOperated by The Kroger Co
✔

Accepts Medicare assignment

Kroger Pharmacy 202 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)20303411
Medicare Participant SinceOctober 18, 2023
Supplier Location1241 Warwood AveWheeling, WV 26003
Phone(304) 277-3260
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.

MICHAEL LITLLE PHARMD
Pharmacist
200 MOUNT DE CHANTAL RD
WHEELING, WV 26003
Ohio County (304) 233-5487
AMBER KACSMAR PHARMD
Pharmacist
200 MOUNT DE CHANTAL RD
WHEELING, WV 26003
Ohio County (304) 233-5485
DR. MATTHEW M RAFA PHARM.D.
Pharmacist
200 MOUNT DE CHANTAL RD
WHEELING, WV 26003
Ohio County (304) 233-5485

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 The Kroger Co's NPI number?

The NPI number for The Kroger Co is 1245264035. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider is doing business as Kroger Pharmacy N-562.

Where is The Kroger Co located?

The Kroger Co is located at 200 Mount De Chantal Rd, Wheeling, WV 26003. The listed phone number is (304) 233-5485.

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.

Does The Kroger Co accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Kroger Pharmacy 202 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does The Kroger Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D1056511) is associated with this NPI, valid through October 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does The Kroger Co 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 46 other insurers list The Kroger Co 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 The Kroger Co was last updated on February 5, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.