KROGER CO
NPI 1487485959
Dietitian, Registered in Brighton, MI

NPI Status: Active since August 08, 2024

Contact Information

9968 E GRAND RIVER AVE
BRIGHTON, MI
ZIP 48116
Phone: (999) 999-9999

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  • Organization
  • Dietitian, Registered
  • CLIA Number: 23D2044457
  • CLIA Cert. Type: Other - RETAIL PHARMACY
  • CLIA Exp. Date: 07-24-2026

About KROGER CO

This page provides the complete NPI Profile along with additional information for Kroger Co, a provider established in Brighton, Michigan operating as a Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1487485959 assigned on August 2024. The practitioner's primary taxonomy code is 133V00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Kroger Co operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Lesa Waller (Enrollment Manager)

NPI
1487485959
Provider Name
KROGER CO
Entity Type
Organization
Location Address
9968 E GRAND RIVER AVE BRIGHTON, MI 48116
Location Phone
(999) 999-9999
Mailing Address
PO BOX 932958 CLEVELAND, OH 44193
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-08-2024
Last Update Date
08-13-2024
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Location Map

Secondary Locations

  • 670 Highland Ave
    Milford, MI 48381
    (999) 999-9999
  • 2641 Plymouth Rd
    Ann Arbor, MI 48105
    (999) 999-9999

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
Taxonomy Description
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LESA WALLER

Authorized Official Title
ENROLLMENT MANAGER
Authorized Official Phone
(513) 387-8602

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
23D2044457
Facility Type
Other - RETAIL PHARMACY
Certificate Effective Date
July 25, 2024
Certificate Expiration Date
July 24, 2026
Laboratory Director
ROBERT BROWN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kroger Co 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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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1487485959, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 4 → 8 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 6 + 7 + 8 + 8 + 1 + 0 + 9 + 1 + 0 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1487485959.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Pharmacy (Community/Retail Pharmacy)
9968 E GRAND RIVER AVE
BRIGHTON, MI 48116
Pharmacist
9968 E GRAND RIVER AVE
BRIGHTON, MI 48116
Pharmacist
9968 E GRAND RIVER AVE
BRIGHTON, MI 48116
Pharmacist
9968 E GRAND RIVER AVE
BRIGHTON, MI 48116

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487485959, enumerated as an "organization" on August 08, 2024.

The provider is located at 9968 E GRAND RIVER AVE BRIGHTON, MI 48116 and the phone number is (999) 999-9999.

Dietitian, Registered with taxonomy code 133V00000X.