KROGER PHARMACY #577
NPI 1629574488
Pharmacy - Community/Retail Pharmacy in Hayes, VA

Active since April 02, 2018
7254 HAYES SHOPPING COURT, HAYES, VA 23072(804) 642-2208(804) 642-2604 Get Directions Write a Review

NPPES record last updated: July 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2018, Jul 11, 2018, May 8, 2018 (3 updates tracked since 2018).

About Kroger Pharmacy #577 NPPES

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

KROGER PHARMACY #577 (NPI 1629574488) is a healthcare organization registered as a community/retail pharmacy in Hayes, Virginia and active in the NPI registry since April 2018. The organization lists Jessie Warman, Licensing Manager, as its authorized official.

NPPES Registry Identity

NPI1629574488
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER LIMITED PARTNERSHIP I
Location Address7254 HAYES SHOPPING COURTHayes, VA 23072
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019
Fax(804) 642-2604
Organization SubpartNo
Authorized OfficialJessie WarmanLicensing Manager · (513) 762-1019
Enumeration DateApril 2, 2018
Last NPPES UpdateJuly 25, 20183 updates tracked since enumeration
NPI 1629574488 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
7254 HAYES SHOPPING COURT, Hayes, VA 23072

Other Names 1

Doing Business AsKroger Pharmacy #577

Other Identifiers 1

Other2177171Pk

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 49D2152225

Kroger Pharmacy #029-577 · Hayes, VA
Expired · Aug 5, 2026
CLIA Number49D2152225
Laboratory TypePharmacy
Certificate Effective DateAugust 6, 2024
Certificate Expiration DateAugust 5, 2026
Laboratory DirectorJessica Lewis
Laboratory Phone(804) 642-2208
Laboratory LocationKroger Pharmacy #029-5777254 Hayes Shopping Ct, Hayes, VA 23072
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.
195 services194 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.
193 services192 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Kroger Pharmacy #577 carries, from the Medicare DMEPOS supplier directory.

Kroger Pharmacy #577

DMEPOS supplier · Hayes, VAOperated by Kroger Limited Partnership I

Accepts Medicare assignment

Kroger Pharmacy #577 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)20597279
Medicare Participant SinceAugust 27, 2003
Supplier Location7254 Hayes Shopping CourtHayes, VA 23072
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

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

Pharmacist
7254 HAYES SHOPPING COURT
HAYES, VA 23072

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 1629574488. It was assigned to this organization in the NPPES registry on April 2, 2018. The provider is doing business as Kroger Pharmacy #577.

Where is Kroger Limited Partnership I located?

Kroger Limited Partnership I is located at 7254 Hayes Shopping Court, Hayes, VA 23072. The listed phone number is (804) 642-2208.

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 Pharmacy #577 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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 44 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 July 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.