KROGER PHARMACY (THE KROGER CO) NPI 1386678266

Pharmacy (Community/Retail Pharmacy) in Union City, GA

Organization Pharmacy Community/Retail Pharmacy Medicare Supplier CLIA Number 11D2099033 CLIA Certificate of Waiver

About KROGER PHARMACY (THE KROGER CO)

Kroger Pharmacy (the Kroger Co) is a provider established in Union City, Georgia specializing in pharmacy (community/retail pharmacy) . The NPI number of Kroger Pharmacy (the Kroger Co) is 1386678266 and was assigned on July 2006. The practitioner's primary taxonomy code is 3336C0003X with license number 5753 (GA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Kroger Pharmacy. The authorized official of this NPI record is Allison Muennich (Manager Of Pharmacy Licensing)

The provider accepts Medicare assignment for all durable medical equipment and supplies. Kroger Pharmacy carries the following product categories: home blood glucose monitors, test strips, lancets, standard canes, quad canes, offset canes, standard crutches, forearm crutches, raised toilets, drop-arm commodes, folding commodes, plastic urinals, plastic bedpans, disposable urinals, enteral infusion pumps, enteral nutrition supply kits, enteral formula, etc

The CLIA number of Kroger Pharmacy is 11D2099033 registered as a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Kroger Pharmacy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1386678266

Provider NameKROGER PHARMACY (THE KROGER CO)
Provider Location Address4550 JONESBORO RD UNION CITY, GA 30291
Provider Mailing AddressPO BOX 842772 BOSTON, MA 02284
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameKROGER PHARMACY
Other Name TypeDoing Business As (3)
Enumeration Date07-10-2006
Last Update Date05-16-2016

Primary Taxonomy

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.5753
License StateGA
Taxonomy DescriptionA 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.

Business Address

KROGER PHARMACY
4550 JONESBORO RD
UNION CITY, GA
ZIP 30291
Phone: (770) 969-0267
Fax: (770) 964-0488

Get Directions

Mailing Address

KROGER PHARMACY
PO BOX 842772
BOSTON, MA
ZIP 02284
Phone: (513) 762-1019
Fax: (513) 762-1092

Authorized Official

Authorized Official Name ALLISON MUENNICH
Authorized Official TitleMANAGER OF PHARMACY LICENSING
Authorized Official Phone(513) 762-1019

Medicare - Medical Supplier Products

The provider accepts medicare and carries the following medical supplies product categories:

  • Blood Glucose Monitors & Supplies: Non-Mail Order - Home blood glucose monitors, Test strips, Lancets
  • Canes & Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Commodes, Urinals, & Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Enteral Nutrients - Enteral formula
  • Nebulizer Equipment & Supplies - Nebulizers, Atomizers, Filters
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
  • Urological Supplies - Catheters, Urinary collection devices
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1386678266 is:

CLIA Number11D2099033
Facility TypePHARMACY
Certificate TypeCertificate of Waiver

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1332B00000XSuppliersDurable Medical Equipment & Medical SuppliesNo

Taxonomy Description: a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

2333600000XSuppliersPharmacyNo

Taxonomy Description: 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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2014654OTHER (01)
0302060252MEDICARE NSC (07)
P00003265MEDICARE PIN (08)
00216422AMEDICAID (05)GA
FLU346MEDICARE PIN (08)

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003448044 SEUNGHYUN LEE PHARMD
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)4550 JONESBORO RD
UNION CITY, GA 30291
(770) 969-0267
1083968481HE CARES MEDICAL WALK IN CLINIC LLC
Organization
General Practice4550 JONESBORO RD SUITE K
UNION CITY, GA 30291
(678) 665-9180
1235202896DR. MELISSA GARRETT HILL D.M.D.
Individual
Dentist4550 JONESBORO RD SUITE A-1
UNION CITY, GA 30291
(770) 306-2266
1598782450 ALFONSO C FINDLEY MD
Individual
General Practice4550 JONESBORO RD SUITE K
UNION CITY, GA 30291
(678) 665-9180
1710337134CELEBRITY BODY SCULPTING AND COSMETIC SURGERY CENTER
Organization
Surgery (Plastic and Reconstructive Surgery)4550 JONESBORO RD SUITE K
UNION CITY, GA 30291
(678) 515-4607

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.