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KROGER PHARMACY
NPI 1356375166
Pharmacy - Community/Retail Pharmacy in Macon, GA

Active since July 10, 2006CLIA 11D0984212 · Waiver
4628 PRESIDENTIAL PKWY, MACON, GA 31206(478) 405-3916(478) 405-3918 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kroger Pharmacy NPPES

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

KROGER PHARMACY (NPI 1356375166) is a healthcare organization registered as a community/retail pharmacy in Macon, Georgia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 14, 2026 and lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1356375166
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTHE KROGER CO
Location Address4628 PRESIDENTIAL PKWYMacon, GA 31206-8708
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(478) 405-3916
Fax(478) 405-3918
Organization SubpartNo
Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateJuly 10, 2006
Last NPPES UpdateMay 16, 2016
✔ NPI 1356375166 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 GA · 6372
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
4628 PRESIDENTIAL PKWY, Macon, GA 31206
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Other Names 1

Doing Business AsKroger Pharmacy

Other Identifiers 5

Medicare PINP00003265
Medicare PINFLU346
Other2014435Pk
Medicaid00659227BGA
Medicare NSC0302060847

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 11D0984212

Kroger Pharmacy Number #411 · Macon, GA
Active · expires Sep 14, 2026
CLIA Number11D0984212
Laboratory TypePharmacy
Certificate Effective DateSeptember 15, 2024
Certificate Expiration DateSeptember 14, 2026
Laboratory DirectorChuck Page
Laboratory Phone(478) 405-3915
Laboratory LocationKroger Pharmacy Number #4114628 Presidential Parkway, Macon, GA 31206
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.
21 services21 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.
20 services20 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Kroger Pharmacy #411 carries, from the Medicare DMEPOS supplier directory.

Kroger Pharmacy #411

DMEPOS supplier · Macon, GAOperated by The Kroger Co
✔

Accepts Medicare assignment

Kroger Pharmacy #411 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)20304743
Medicare Participant SinceOctober 18, 2023
Supplier Location4628 Presidential PkwyMacon, GA 31206
Phone(478) 405-3916
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.

DENNIS MALTO
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4628 PRESIDENTIAL PKWY
MACON, GA 31206
Bibb County (478) 405-3915
ANGELA TRAVIS JOSLIN
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4628 PRESIDENTIAL PKWY
MACON, GA 31206
Bibb County (478) 405-3915
HUY HO PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4628 PRESIDENTIAL PKWY
MACON, GA 31206
Bibb County (478) 405-3915

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 1356375166. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider is doing business as Kroger Pharmacy.

Where is The Kroger Co located?

The Kroger Co is located at 4628 Presidential Pkwy, Macon, GA 31206. The listed phone number is (478) 405-3916.

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 #411 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 11D0984212) is associated with this NPI, valid through September 14, 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 45 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 May 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.