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KROGER
NPI 1376270165
Pharmacy - Community/Retail Pharmacy in Monticello, IN

Active since August 02, 2022CLIA 15D1077740 · Waiver
916 N MAIN ST, MONTICELLO, IN 47960(574) 583-4489 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kroger NPPES

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

KROGER (NPI 1376270165) is a healthcare organization registered as a community/retail pharmacy in Monticello, Indiana and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through December 17, 2027 and lists Laura Flanigan, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1376270165
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER
Location Address916 N MAIN STMonticello, IN 47960-1501
Mailing Address405 N Davis StWolcott, IN 47995-8134
Phone(574) 583-4489
Organization SubpartNo
Authorized OfficialLaura FlaniganPharmacist · (219) 869-4671
Enumeration DateAugust 2, 2022
NPPES CertifiedAugust 2, 2022
✔ NPI 1376270165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
916 N MAIN ST, Monticello, IN 47960
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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 15D1077740

Kroger Pharmacy 138 · Monticello, IN
Active · expires Dec 17, 2027
CLIA Number15D1077740
Laboratory TypePharmacy
Certificate Effective DateDecember 18, 2025
Certificate Expiration DateDecember 17, 2027
Laboratory DirectorMary Rodkey
Laboratory Phone(574) 583-4489
Laboratory LocationKroger Pharmacy 138916 N Main, Monticello, IN 47960
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

DAYNA GUMM RPH
Pharmacist
916 N MAIN ST
MONTICELLO, IN 47960
White County (574) 583-4489
LAURA FLANIGAN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
916 N MAIN ST
MONTICELLO, IN 47960
White County (219) 869-4671
AUTUMN WHITAKER
Pharmacist
916 N MAIN ST
MONTICELLO, IN 47960
White County (574) 583-4489
CHRISTINA M VAN METER
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
916 N MAIN ST
MONTICELLO, IN 47960
White County (574) 583-4489
MARY KATHLEEN RODKEY
Pharmacist
916 N MAIN ST
MONTICELLO, IN 47960
White County (574) 583-4489
KROGER LIMITED PARTNERSHIP I
Pharmacy (Community/Retail Pharmacy)
916 N MAIN ST
MONTICELLO, IN 47960
White County (574) 583-4489

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's NPI number?

The NPI number for Kroger is 1376270165. It was assigned to this organization in the NPPES registry on August 2, 2022.

Where is Kroger located?

Kroger is located at 916 N Main St, Monticello, IN 47960. The listed phone number is (574) 583-4489.

What is Kroger's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Kroger hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D1077740) is associated with this NPI, valid through December 17, 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 was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.