KROGER PHARMACY
NPI 1366476095
Pharmacy - Community/Retail Pharmacy in Germantown, TN

Q: What is Kroger Limited Partnership I's NPI number?

The NPI number for Kroger Limited Partnership I is 1366476095. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider is doing business as Kroger Pharmacy.

Q: 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.

Active since July 10, 2006CLIA 44D1037318 · Waiver

2130 EXETER RD, GERMANTOWN, TN 38138(901) 754-7864(901) 758-3632 Get Directions Write a Review

NPPES record last updated: April 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kroger Pharmacy NPPES

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

KROGER PHARMACY (NPI 1366476095) is a healthcare organization registered as a community/retail pharmacy in Germantown, Tennessee and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists Karla Langworthy, Manager Of Pharmacy Credentialing, as its authorized official.

NPPES Registry Identity

NPI1366476095

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameKROGER LIMITED PARTNERSHIP I

Location Address2130 EXETER RDGermantown, TN 38138-3922

Mailing Address800 Ridge Lake BlvdMemphis, TN 38120-9427 · (901) 765-4157 · Fax (901) 765-4213

Phone(901) 754-7864

Fax(901) 758-3632

Organization SubpartNo

Authorized OfficialKarla LangworthyManager Of Pharmacy Credentialing · (513) 698-1878

Enumeration DateJuly 10, 2006

Last NPPES UpdateApril 7, 2014

✔ NPI 1366476095 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 TN · C1768

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

2130 EXETER RD, Germantown, TN 38138

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Other Names 1

Doing Business AsKroger Pharmacy

Other Identifiers 4

Medicaid9449318TN

Medicare NSC1193770123

Medicare PIN3913544

Other2090105Pk

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 44D1037318

Kroger Pharmacy #339 · Memphis, TN

Active · expires Feb 21, 2027

CLIA Number44D1037318

Laboratory TypePharmacy

Certificate Effective DateFebruary 22, 2025

Certificate Expiration DateFebruary 21, 2027

Laboratory DirectorCynthia Fisher

Laboratory Phone(901) 757-8779

Laboratory LocationKroger Pharmacy #3396660 Poplar Avenue, Memphis, TN 38138

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

CRISTI JOHNSON HARDING

Pharmacist

2130 EXETER RD
GERMANTOWN, TN 38138

Shelby County (901) 754-7864

VICTORIA APPLE PHARM. D.

Pharmacist

2130 EXETER RD
GERMANTOWN, TN 38138

Shelby County (901) 754-7864

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 1366476095. 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 2130 Exeter Rd, Germantown, TN 38138. The listed phone number is (901) 754-7864.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1037318) is associated with this NPI, valid through February 21, 2027. 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 April 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.