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KROGER CO
NPI 1629321823
Pharmacy - Community/Retail Pharmacy in Griffin, GA

Active since October 25, 2012CLIA 11D2053179 · Waiver
1524 GEORGIA HIGHWAY 16 W, GRIFFIN, GA 30223(770) 229-7430 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2025, Jul 19, 2018, Jun 1, 2017 and 3 more (6 updates tracked since 2016).

About Kroger Co NPPES

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

KROGER CO (NPI 1629321823), doing business as Kroger Pharmacy #619, is a healthcare organization registered as a community/retail pharmacy in Griffin, Georgia and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through January 27, 2027 and lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1629321823
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER CO
Location Address1524 GEORGIA HIGHWAY 16 WGriffin, GA 30223-2046
Mailing AddressP.o. Box 842772Boston, MA 02284 · (513) 762-1019 · Fax (513) 762-1092
Phone(770) 229-7430
Organization SubpartNo
Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateOctober 25, 2012
Last NPPES UpdateSeptember 19, 20256 updates tracked since enumeration
✔ NPI 1629321823 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
1524 GEORGIA HIGHWAY 16 W, Griffin, GA 30223
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Other Names 1

Doing Business AsKroger Pharmacy #619

Other Identifiers 2

Other2137594Pk
Medicaid003129888AGA

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 11D2053179

Kroger Pharmacy #619 · Griffin, GA
Active · expires Jan 27, 2027
CLIA Number11D2053179
Laboratory TypeRetail Pharmacy
Certificate Effective DateJanuary 28, 2025
Certificate Expiration DateJanuary 27, 2027
Laboratory DirectorChuck Page
Laboratory Phone(770) 496-7400
Laboratory LocationKroger Pharmacy #6191524 Georgia Highway 16W, Griffin, GA 30223
CLIA data matches this NPI record on: Name
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.
153 services153 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.
145 services145 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.
15 services15 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.
15 services15 patients

Medical Equipment Supplier Medicare DMEPOS 14

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

Kroger Co

DMEPOS supplier · Griffin, GAOperated by The Kroger Co
✔

Accepts Medicare assignment

Kroger Co 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)20304725
Medicare Participant SinceOctober 18, 2023
Supplier Location1524 Georgia Highway 16 WGriffin, GA 30223
Phone(770) 229-7430
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.

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 Co's NPI number?

The NPI number for Kroger Co is 1629321823. It was assigned to this organization in the NPPES registry on October 25, 2012. The provider is doing business as Kroger Pharmacy #619.

Where is Kroger Co located?

Kroger Co is located at 1524 Georgia Highway 16 W, Griffin, GA 30223. The listed phone number is (770) 229-7430.

What is Kroger Co's specialty?

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

Does Kroger Co accept Medicare assignment for medical equipment?

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

Does Kroger Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2053179) is associated with this NPI, valid through January 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kroger Co 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 45 other insurers list 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 Kroger Co was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.