KROGER PHARMACY
NPI 1558386334
Pharmacy - Community/Retail Pharmacy in Brookhaven, GA

Active since July 13, 2006CLIA 11D2098475 · Waiver
2036 JOHNSON FERRY RD NE, BROOKHAVEN, GA 30319(770) 452-1423(770) 452-1817 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kroger Pharmacy NPPES

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

KROGER PHARMACY (NPI 1558386334) is a healthcare organization registered as a community/retail pharmacy in Brookhaven, Georgia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 7, 2027 and lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1558386334
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTHE KROGER CO
Location Address2036 JOHNSON FERRY RD NEBrookhaven, GA 30319-2500
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Fax(770) 452-1817
Organization SubpartNo
Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateJuly 13, 2006
Last NPPES UpdateMay 16, 2016
NPI 1558386334 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 · 8726
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
2036 JOHNSON FERRY RD NE, Brookhaven, GA 30319

Other Names 1

Doing Business AsKroger Pharmacy

Other Identifiers 5

Medicare PINP00003265
Other2015395Pk
Medicaid000892636BGA
Medicare NSC0302060875
Medicare PINFLU346

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 11D2098475

Kroger Pharmacy #491 · Atlanta, GA
Active · expires Jul 7, 2027
CLIA Number11D2098475
Laboratory TypePharmacy
Certificate Effective DateJuly 8, 2025
Certificate Expiration DateJuly 7, 2027
Laboratory DirectorChuck Page
Laboratory Phone(404) 240-2814
Laboratory LocationKroger Pharmacy #4913871 Peachtree Road NE, Atlanta, GA 30319
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2036 JOHNSON FERRY RD NE
BROOKHAVEN, GA 30319

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 The Kroger Co's NPI number?

The NPI number for The Kroger Co is 1558386334. It was assigned to this organization in the NPPES registry on July 13, 2006. The provider is doing business as Kroger Pharmacy.

Where is The Kroger Co located?

The Kroger Co is located at 2036 Johnson Ferry Rd NE, Brookhaven, GA 30319. The listed phone number is (770) 452-1423.

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.

Does The Kroger Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2098475) is associated with this NPI, valid through July 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does The Kroger Co accept?

Health plans from Medica list The Kroger Co 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 The Kroger Co was last updated on May 16, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.