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KROGER PHARMACY
NPI 1326072125
Pharmacy in Dayton, OH

Active since July 10, 2006CLIA 36D2039670 · Waiver
900 N GETTYSBURG AVE, DAYTON, OH 45417(937) 268-0128(937) 268-7364 Get Directions Write a Review

NPPES record last updated: February 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kroger Pharmacy NPPES

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

KROGER PHARMACY (NPI 1326072125) is a healthcare organization registered as a pharmacy in Dayton, Ohio and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 15, 2028 and lists Mike Puccini, Pharmacy Merchandiser, as its authorized official.

NPPES Registry Identity

NPI1326072125
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameKROGER LIMITED PARTNERSHIP I
Location Address900 N GETTYSBURG AVEDayton, OH 45417-1564
Mailing Address150 Tri County PkwyCincinnati, OH 45246-3217
Phone(937) 268-0128
Fax(937) 268-7364
Organization SubpartNo
Authorized OfficialMike PucciniPharmacy Merchandiser · (513) 782-3384
Enumeration DateJuly 10, 2006
Last NPPES UpdateFebruary 14, 2008
✔ NPI 1326072125 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 · Community/Retail PharmacyTaxonomy 3336C0003X
900 N GETTYSBURG AVE, Dayton, OH 45417
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Other Names 1

Doing Business AsKroger Pharmacy

Other Identifiers 2

Other3648738Other Id Number-commercial Number
Medicaid0671938OH

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 36D2039670

Kroger Pharmacy 014-765 · Dayton, OH
Active · expires Apr 15, 2028
CLIA Number36D2039670
Laboratory TypePharmacy
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorMichelle Izor
Laboratory Phone(937) 535-5820
Laboratory LocationKroger Pharmacy 014-765601 Woodman Dr, Dayton, OH 45431
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 1326072125. 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 900 N Gettysburg Ave, Dayton, OH 45417. The listed phone number is (937) 268-0128.

What is Kroger Limited Partnership I's specialty?

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

Does Kroger Limited Partnership I hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2039670) is associated with this NPI, valid through April 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kroger Limited Partnership I was last updated on February 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.