KROGER PHARMACY
NPI 1669711503
Pharmacist in Cordova, TN

NPI Status: Active since February 13, 2013

Contact Information

676 N GERMANTOWN PKWY
CORDOVA, TN
ZIP 38018
Phone: (901) 756-1138

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  • Organization
  • Pharmacist
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 44D1009238
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 02-09-2027

About KROGER PHARMACY

This page provides the complete NPI Profile along with additional information for Kroger Pharmacy, a provider established in Cordova, Tennessee operating as a Pharmacist. The healthcare provider is registered in the NPI registry with number 1669711503 assigned on February 2013. The practitioner's primary taxonomy code is 183500000X with license number 36631 (TN). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Karen Hohman Pharm.d. (Pharmacist)

NPI
1669711503
Provider Name
KROGER PHARMACY
Entity Type
Organization
Location Address
676 N GERMANTOWN PKWY CORDOVA, TN 38018
Location Phone
(901) 756-1138
Mailing Address
676 N GERMANTOWN PKWY CORDOVA, TN 38018
Mailing Phone
(901) 756-1138
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2013
Last Update Date
02-13-2013
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A pharmacist like Kroger Pharmacy fills prescription medications, verifying instructions from physicians and offers expertise in the safe use of prescriptions. Pharmacists instruct patients on how to take a prescribed medicine and educate patients about potential side effects. Pharmacists might also conduct health and wellness screenings, provide immunizations, oversee the medications given to patients, and provide advice on healthy lifestyles.

Kroger Pharmacy is a medicare supplier with PTAN 20597687 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Immunosuppressive Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Commodes, Urinals, Bedpans or Blood Glucose Monitors/Supplies (Non-Mail Order) or Canes and/or Crutches or Walkers or Ostomy Supplies or Urological Supplies or Enteral Nutrients or Enteral Equipment and/or Supplies or Nebulizer Equipment and/or Supplies or Surgical Dressings.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacist

Taxonomy Code
183500000X
Type
Pharmacy Service Providers
License No.
36631
License State
TN
Taxonomy Description
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KAREN HOHMAN PHARM.D.

Authorized Official Title
PHARMACIST
Authorized Official Phone
(901) 832-4876

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20597687
Accepts Medicare Assignment
YES
Specialities List
Pharmacy, Grocery Store.
Competitive Bidding
NO

Supplies List

  • 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
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Enteral Nutrients - Enteral formula
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D1009238
Facility Type
Pharmacy
Certificate Effective Date
February 10, 2025
Certificate Expiration Date
February 09, 2027
Laboratory Director
CYNTHIA FISHER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kroger Pharmacy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1669711503, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 2 + 9 + 1 + 4 + 1 + 2 + 5 + 0 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1669711503.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist
676 N GERMANTOWN PKWY
CORDOVA, TN 38018
Pharmacist
676 N GERMANTOWN PKWY
CORDOVA, TN 38018
Pharmacist
676 N GERMANTOWN PKWY
CORDOVA, TN 38018
Pharmacist
676 N GERMANTOWN PKWY
CORDOVA, TN 38018
Pharmacist
676 N GERMANTOWN PKWY
CORDOVA, TN 38018
Nurse Practitioner (Family)
676 N GERMANTOWN PKWY
CORDOVA, TN 38018
Nurse Practitioner (Family)
676 N GERMANTOWN PKWY
CORDOVA, TN 38018
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
676 N GERMANTOWN PKWY
CORDOVA, TN 38018
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
676 N GERMANTOWN PKWY
CORDOVA, TN 38018
Pharmacy (Community/Retail Pharmacy)
676 N GERMANTOWN PKWY
CORDOVA, TN 38018
Nurse Practitioner (Family)
676 N GERMANTOWN PKWY
CORDOVA, TN 38018
Nurse Practitioner (Family)
676 N GERMANTOWN PKWY
CORDOVA, TN 38018
Nurse Practitioner (Family)
676 N GERMANTOWN PKWY
CORDOVA, TN 38018
Nurse Practitioner (Family)
676 N GERMANTOWN PKWY
CORDOVA, TN 38018
Nurse Practitioner (Family)
676 N GERMANTOWN PKWY
CORDOVA, TN 38018
Pharmacist
676 N GERMANTOWN PKWY
CORDOVA, TN 38018
Nurse Practitioner (Family)
676 N GERMANTOWN PKWY
CORDOVA, TN 38018
Nurse Practitioner (Family)
676 N GERMANTOWN PKWY
CORDOVA, TN 38018
Nurse Practitioner (Family)
676 N GERMANTOWN PKWY
CORDOVA, TN 38018
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
676 N GERMANTOWN PKWY
CORDOVA, TN 38018

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669711503, enumerated as an "organization" on February 13, 2013.

The provider is located at 676 N GERMANTOWN PKWY CORDOVA, TN 38018 and the phone number is (901) 756-1138.

Pharmacist with taxonomy code 183500000X.