KROGER PHARMACY
NPI 1457376139
Pharmacy - Community/Retail Pharmacy in Marietta, GA

Active since July 13, 2006CLIA 11D2099862 · Waiver
3595 CANTON RD, MARIETTA, GA 30066(770) 924-7972(770) 924-6063 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: July 19, 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 1457376139) is a community/retail pharmacy in Marietta, Georgia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 3, 2027 and lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.Information from the official NPPES registry record, last updated May 16, 2016.

NPPES Registry Identity

NPI1457376139
Entity TypeOrganization
Legal Business NameTHE KROGER CO
Location Address3595 CANTON RDMarietta, GA 30066-2658
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Fax(770) 924-6063
Organization SubpartNo
Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateJuly 13, 2006
Last NPPES UpdateMay 16, 2016
NPI 1457376139 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Pharmacy · Community/Retail Pharmacy

Taxonomy 3336C0003X · Suppliers

Licensed in GA · 7166

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;… Show more

Also Listed

Pharmacy

Taxonomy 333600000X · Suppliers

3595 CANTON RD, Marietta, GA 30066

Also on File with NPPES

Other Names1
Kroger Pharmacy (Doing Business As)
Other Identifiers5
0302060237 (Medicare NSC)
00419009A (Medicaid, GA)
2017319 (Other, Pk)
FLU346 (Medicare PIN)
P00003265 (Medicare PIN)

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.

Adm sarscv2 bvl 30mcg/.3ml a

The "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.

This service was performed 23 times for 23 patients

Adm sarscv2 bvl 50mcg/.5ml a

The "Fee covid-19 vac 14 res" refers to a charge for a specific service related to the COVID-19 vaccine. This could be for administering the vaccine or related care. It's crucial to get vaccinated to protect against the virus. The fee ensures quality service.

This service was performed 18 times for 18 patients

Administration of influenza virus vaccine

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 162 times for 159 patients

Administration of pneumococcal vaccine

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

This service was performed 16 times for 16 patients

Influenza vaccine split virus, preservative free

The 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 153 times for 151 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

This service was performed 12 times for 12 patients

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count

This service provides a FDA-approved COVID-19 test kit for personal use. The test is self-administered and self-collected, meaning you conduct the test yourself. The kit contains all necessary items for one test. Follow the instructions carefully to ensure accurate results.

This service was performed 224 times for 30 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20303939
Accepts Medicare Assignment
YES
Specialities List
Pharmacy, Grocery Store.
Competitive Bidding
NO

Supplies List

  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Enteral Nutrients - Enteral formula
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

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 this NPI number is:

CLIA Number
11D2099862
Facility Type
Pharmacy
Certificate Effective Date
August 04, 2025
Certificate Expiration Date
August 03, 2027
Laboratory Director
CHUCK PAGE
Certificate Type
Certificate of Waiver
Certificate Type Description
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.

Reviews for KROGER PHARMACY

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Speech-Language Pathologist
3595 CANTON RD, SUITE A9, #321
MARIETTA, GA 30066
Occupational Therapist (Pediatrics)
3595 CANTON RD, SUITE A9 321
MARIETTA, GA 30066
Community/Behavioral Health
3595 CANTON RD, A9-320
MARIETTA, GA 30066
Dentist (General Practice)
3595 CANTON RD
MARIETTA, GA 30066
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3595 CANTON RD
MARIETTA, GA 30066
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3595 CANTON RD
MARIETTA, GA 30066
Occupational Therapist (Pediatrics)
3595 CANTON RD, SUITE A9, #321
MARIETTA, GA 30066
Physical Therapist
3595 CANTON RD
MARIETTA, GA 30066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457376139, enumerated as an "organization" on July 13, 2006.

The provider is located at 3595 CANTON RD MARIETTA, GA 30066 and the phone number is (770) 924-7972.

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.