KROGER PHARMACY #699
NPI 1518244482
Pharmacy - Community/Retail Pharmacy in Smyrna, GA

Q: What is The Kroger Co's NPI number?

The NPI number for The Kroger Co is 1518244482. It was assigned to this organization in the NPPES registry on November 7, 2011. The provider is doing business as Kroger Pharmacy #699.

Q: What is The Kroger Co's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for The Kroger Co was last updated on May 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since November 07, 2011CLIA 11D2040022 · Waiver

3240 S COBB DR SE, SMYRNA, GA 30080(770) 433-3420 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 16, 2016, Jan 22, 2016 (2 updates tracked since 2016).

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About Kroger Pharmacy #699 NPPES

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

KROGER PHARMACY #699 (NPI 1518244482) is a healthcare organization registered as a community/retail pharmacy in Smyrna, Georgia and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through April 19, 2028 and lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1518244482

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameTHE KROGER CO

Location Address3240 S COBB DR SESmyrna, GA 30080-4194

Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092

Phone(770) 433-3420

Organization SubpartNo

Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019

Enumeration DateNovember 7, 2011

Last NPPES UpdateMay 16, 20162 updates tracked since enumeration

✔ NPI 1518244482 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 GA · PHRE009801

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

3240 S COBB DR SE, Smyrna, GA 30080

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Other Names 1

Doing Business AsKroger Pharmacy #699

Other Identifiers 5

Other2132595Pk

Medicare NSC0302061055

Medicare PINFLU346

Medicaid00253162AGA

Medicare PINP00003265

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health 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 11D2040022

Kroger Pharmacy #699 · Smyrna, GA

Active · expires Apr 19, 2028

CLIA Number11D2040022

Laboratory TypePharmacy

Certificate Effective DateApril 20, 2026

Certificate Expiration DateApril 19, 2028

Laboratory DirectorChuck Page

Laboratory Phone(770) 433-3420

Laboratory LocationKroger Pharmacy #6993240 S Cobb Drive, Smyrna, GA 30080

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.

244 services243 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.

225 services225 patients

Administration of pneumococcal vaccine G0009

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.

84 services84 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

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.

71 services71 patients

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.

LARRY MATTHEW DAVIS NP-C

Nurse Practitioner (Family)