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KROGER PHARMACY #800
NPI 1487102042
Pharmacy - Community/Retail Pharmacy in Marietta, OH

Active since September 13, 2016CLIA 36D2130621 · Waiver
401 MATTHEW ST, SUITE 100, MARIETTA, OH 45750(740) 434-0140(740) 434-0142 Get Directions Write a Review

NPPES record last updated: April 20, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 20, 2017, Sep 15, 2016 (2 updates tracked since 2016).

About Kroger Pharmacy #800 NPPES

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

KROGER PHARMACY #800 (NPI 1487102042) is a healthcare organization registered as a community/retail pharmacy in Marietta, Ohio and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through May 14, 2027 and lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1487102042
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER LIMITED PARTNERSHIP I
Location Address401 MATTHEW ST, SUITE 100Marietta, OH 45750-1635
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019
Phone(740) 434-0140
Fax(740) 434-0142
Organization SubpartNo
Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1263
Enumeration DateSeptember 13, 2016
Last NPPES UpdateApril 20, 20172 updates tracked since enumeration
✔ NPI 1487102042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in OH · 022663750
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
401 MATTHEW ST, Marietta, OH 45750
Open in Google Maps ↗

Other Names 1

Doing Business AsKroger Pharmacy #800

Other Identifiers 1

Other2164119Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

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 36D2130621

Kroger Pharmacy #29-800 · Marietta, OH
Active · expires May 14, 2027
CLIA Number36D2130621
Laboratory TypePharmacy
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorChris Koon
Laboratory Phone(740) 434-0140
Laboratory LocationKroger Pharmacy #29-800401 Matthew St Suite 100, Marietta, OH 45750
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
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.
38 services38 patients
Influenza vaccine split virus, preservative free 90662
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.
35 services35 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Kroger Pharmacy #800 carries, from the Medicare DMEPOS supplier directory.

Kroger Pharmacy #800

DMEPOS supplier · Marietta, OHOperated by Kroger Limited Partnership I
✔

Accepts Medicare assignment

Kroger Pharmacy #800 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20596625
Medicare Participant SinceAugust 27, 2003
Supplier Location401 Matthew St Ste 100Marietta, OH 45750
Phone(740) 434-0140
Supplier Specialties
Pharmacy

Medicare Product Categories

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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

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

CONSTANCE J OATES FNP
Nurse Practitioner
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Washington County (740) 376-1939
JANELLE A THOMAS MD
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPT
MARIETTA, OH 45750
Washington County (740) 374-1400
LEXIE MULLEN MS, CCC-SLP
Speech-Language Pathologist
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-1422
DR. DIANA WHEELER DO
Family Medicine
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-7700
JULIAN ADAM JOHN JAKUBOWSKI DO
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Washington County (740) 376-1939
GEOFFREY SIROCKMAN DO
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Washington County (740) 568-5669
PUSHPA UPRETY FNP
Nurse Practitioner (Family)
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-1494
DR. DISHA SHAH MD
Student in an Organized Health Care Education/Training Program
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-1400

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 Limited Partnership I's NPI number?

The NPI number for Kroger Limited Partnership I is 1487102042. It was assigned to this organization in the NPPES registry on September 13, 2016. The provider is doing business as Kroger Pharmacy #800.

Where is Kroger Limited Partnership I located?

Kroger Limited Partnership I is located at 401 Matthew St Suite 100, Marietta, OH 45750. The listed phone number is (740) 434-0140.

What is Kroger Limited Partnership I's specialty?

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

Does Kroger Limited Partnership I accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Kroger Pharmacy #800 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Kroger Limited Partnership I hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2130621) is associated with this NPI, valid through May 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kroger Limited Partnership I accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and AvMed and 30 other insurers list Kroger Limited Partnership I as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kroger Limited Partnership I was last updated on April 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.