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KROGER PHARMACY
NPI 1598215840
Pharmacy - Community/Retail Pharmacy in Shreveport, LA

Active since October 11, 2016CLIA Certified · 2 labs
6652 YOUREE DR, SHREVEPORT, LA 71105(318) 795-9966 Get Directions Write a Review

NPPES record last updated: October 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kroger Pharmacy NPPES

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

KROGER PHARMACY (NPI 1598215840) is a healthcare organization registered as a community/retail pharmacy in Shreveport, Louisiana and active in the NPI registry since October 2016. The organization holds 2 active CLIA laboratory certificates and lists Rhonny Valentine, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1598215840
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER PHARMACY
Location Address6652 YOUREE DRShreveport, LA 71105-4630
Mailing Address1105 Island Park Blvd, 714Shreveport, LA 71105-4741
Phone(318) 795-9966
Organization SubpartYesParent: Kroger Company
Authorized OfficialRhonny ValentinePharmacist In Charge · (318) 795-9966
Enumeration DateOctober 11, 2016
✔ NPI 1598215840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in LA · 021693
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.
6652 YOUREE DR, Shreveport, LA 71105
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CLIA Laboratory Certificates CMS CLIA 2

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 19D2016591

Kroger Pharmacy # 35-539 · Shreveport, LA
Active · expires Nov 18, 2026
CLIA Number19D2016591
Laboratory TypePharmacy
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorBrian Mason
Laboratory Phone(318) 795-9966
Laboratory LocationKroger Pharmacy # 35-5396652 Youree Drive, Shreveport, LA 71105
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 19D2016596

Kroger Pharmacy # 35-427 · Shreveport, LA
Active · expires Nov 18, 2026
CLIA Number19D2016596
Laboratory TypePharmacy
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorMatthew W. Patton
Laboratory Phone(318) 688-2582
Laboratory LocationKroger Pharmacy # 35-4279155 Mansfield Rd, Shreveport, LA 71118
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 14

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

Kroger Pharmacy

DMEPOS supplier · Shreveport, LAOperated by The Kroger Co
✔

Accepts Medicare assignment

Kroger Pharmacy 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)20303735
Medicare Participant SinceOctober 18, 2023
Supplier Location6652 Youree DrShreveport, LA 71105
Phone(318) 795-9966
Supplier Specialties
Pharmacy Grocery Store

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.

EVERETT MICHAEL WILKERSON RPH, D.PHARM
Pharmacist
6652 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 795-0506
SHAWN THOMAS
Pharmacist
6652 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 795-9966
MR. BRIAN JAMES MASON PHARMACIST
Pharmacist
6652 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 795-0506
LAUREN PERNICI JONES
Pharmacist
6652 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 795-9966
THE KROGER CO
Pharmacy (Community/Retail Pharmacy)
6652 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 795-9966

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 Pharmacy's NPI number?

The NPI number for Kroger Pharmacy is 1598215840. It was assigned to this organization in the NPPES registry on October 11, 2016.

Where is Kroger Pharmacy located?

Kroger Pharmacy is located at 6652 Youree Dr, Shreveport, LA 71105. The listed phone number is (318) 795-9966.

What is Kroger Pharmacy's specialty?

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

Does Kroger Pharmacy accept Medicare assignment for medical equipment?

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

Does Kroger Pharmacy hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Kroger Pharmacy was last updated on October 11, 2016. 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.