KROGER - NPI 1376270165 - Pharmacy in Monticello, IN

Q: 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.

Q: What is Kroger's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kroger was last updated on August 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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.

KROGER LIMITED PARTNERSHIP I

Pharmacy (Community/Retail Pharmacy)