KROGER PHARMACY L-794
NPI 1548949183
Pharmacy - Community/Retail Pharmacy in La Grange, KY

Active since July 12, 2023CLIA 18D2287984 · Waiver
2835 S HIGHWAY 393, LA GRANGE, KY 40031(502) 530-4808(502) 530-5828 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kroger Pharmacy L-794 NPPES

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

KROGER PHARMACY L-794 (NPI 1548949183) is a healthcare organization registered as a community/retail pharmacy in La Grange, Kentucky and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through August 20, 2027 and lists Lysette Seilhamer, Manager Of Licensing, as its authorized official.

NPPES Registry Identity

NPI1548949183
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER LIMITED PARTNERSHIP I
Location Address2835 S HIGHWAY 393La Grange, KY 40031-9613
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1090
Fax(502) 530-5828
Organization SubpartNo
Authorized OfficialLysette SeilhamerManager Of Licensing · (515) 762-1090
Enumeration DateJuly 12, 2023
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 21, 2024
NPI 1548949183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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
2835 S HIGHWAY 393, La Grange, KY 40031

Other Names 1

Doing Business AsKroger Pharmacy L-794

Accepted 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 18D2287984

Kroger Pharmacy #024-794 · La Grange, KY
Active · expires Aug 20, 2027
CLIA Number18D2287984
Laboratory TypePharmacy
Certificate Effective DateAugust 21, 2025
Certificate Expiration DateAugust 20, 2027
Laboratory DirectorMs. Phelicisima Roberts
Laboratory Phone(502) 530-4808
Laboratory LocationKroger Pharmacy #024-7942835 S Highway 393, La Grange, KY 40031
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.
125 services125 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.
122 services122 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Kroger Limited Partnership I carries, from the Medicare DMEPOS supplier directory.

Kroger Limited Partnership I

DMEPOS supplier · La Grange, KY

Accepts Medicare assignment

Kroger Limited Partnership I 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)21610443
Medicare Participant SinceAugust 27, 2003
Supplier Location2835 S Highway 393La Grange, KY 40031
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 5

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

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2835 S HIGHWAY 393
LA GRANGE, KY 40031
Nurse Practitioner (Family)
2835 S HIGHWAY 393
LA GRANGE, KY 40031
Nurse Practitioner (Family)
2835 S HIGHWAY 393
LA GRANGE, KY 40031
Nurse Practitioner (Family)
2835 S HIGHWAY 393
LA GRANGE, KY 40031
Pharmacist
2835 S HIGHWAY 393
LA GRANGE, KY 40031

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 1548949183. It was assigned to this organization in the NPPES registry on July 12, 2023. The provider is doing business as Kroger Pharmacy L-794.

Where is Kroger Limited Partnership I located?

Kroger Limited Partnership I is located at 2835 S Highway 393, La Grange, KY 40031. The listed phone number is (502) 530-4808.

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 Limited Partnership I 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 18D2287984) is associated with this NPI, valid through August 20, 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., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 42 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 May 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.