KROGER PHARMACY J-918
NPI 1417020033
Pharmacy - Community/Retail Pharmacy in Peoria, IL
About Kroger Pharmacy J-918 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KROGER PHARMACY J-918 (NPI 1417020033) is a healthcare organization registered as a community/retail pharmacy in Peoria, Illinois and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.Information from the official NPPES registry record.
NPPES Registry Identity
Specialties & Licenses 3
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.
Other Names 1
Other Identifiers 5
Accepted Insurance
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Administration of influenza virus vaccine
Influenza vaccine split virus, preservative free
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.
This service was performed 113 times for 113 patientsThe 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.
This service was performed 109 times for 109 patientsCLIA 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 this NPI number is:
- CLIA Number
- 14D1037334
- Facility Type
- Pharmacy
- Certificate Effective Date
- February 22, 2025
- Certificate Expiration Date
- February 21, 2027
- Laboratory Director
- STACY DOYLE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kroger Pharmacy J-918 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.
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
PEORIA, IL 61615
PEORIA, IL 61615
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417020033, enumerated as an "organization" on November 15, 2006.
The provider is located at 9219 N LINDBERGH DR PEORIA, IL 61615 and the phone number is (309) 692-0473.
Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.
The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.
