KROGER PHARMACY
NPI 1699709402
Pharmacy - Community/Retail Pharmacy in Dallas, GA

Q: What is The Kroger Co's NPI number?

The NPI number for The Kroger Co is 1699709402. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider is doing business as Kroger Pharmacy.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for The Kroger Co was last updated on May 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since July 10, 2006CLIA Certified · 2 labs

8876 DALLAS ACWORTH HWY, DALLAS, GA 30132(678) 574-6933(678) 574-7062 Get Directions Write a Review

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

On this page

About Kroger Pharmacy NPPES

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

KROGER PHARMACY (NPI 1699709402) is a healthcare organization registered as a community/retail pharmacy in Dallas, Georgia and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1699709402

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameTHE KROGER CO

Location Address8876 DALLAS ACWORTH HWYDallas, GA 30132-7902

Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092

Phone(678) 574-6933

Fax(678) 574-7062

Organization SubpartNo

Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019

Enumeration DateJuly 10, 2006

Last NPPES UpdateMay 16, 2016

✔ NPI 1699709402 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 · 8945

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

8876 DALLAS ACWORTH HWY, Dallas, GA 30132

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Other Names 1

Doing Business AsKroger Pharmacy

Other Identifiers 5

Other2016091Pk

Medicaid000352426BGA

Medicare PINFLU346

Medicare NSC0302060991

Medicare PINP00003265

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 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 11D2118928

Kroger Pharmacy #634 · Cassville, GA

Active · expires Sep 15, 2026

CLIA Number11D2118928

Laboratory TypePharmacy

Certificate Effective DateSeptember 16, 2024

Certificate Expiration DateSeptember 15, 2026

Laboratory DirectorChuck Page

Laboratory Phone(678) 574-6933

Laboratory LocationKroger Pharmacy #6348876 Dallas Ackworth Hwy, Cassville, GA 30123

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2099004

Kroger Pharmacy #673 · Dallas, GA

Active · expires Jul 19, 2027

CLIA Number11D2099004

Laboratory TypePharmacy

Certificate Effective DateJuly 20, 2025

Certificate Expiration DateJuly 19, 2027

Laboratory DirectorLiza Chapman

Laboratory Phone(770) 443-8776

Laboratory LocationKroger Pharmacy #673457 Nathan Dean Blvd, Dallas, GA 30132

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 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.

95 services95 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.

92 services92 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Kroger Pharmacy #634 carries, from the Medicare DMEPOS supplier directory.

Kroger Pharmacy #634

DMEPOS supplier · Dallas, GAOperated by The Kroger Co

✔

Accepts Medicare assignment

Kroger Pharmacy #634 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)20304875

Medicare Participant SinceOctober 18, 2023

Supplier Location8876 Dallas Acworth HwyDallas, GA 30132

Phone(678) 574-6933

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 2

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

LAWRENCE FRAZIER

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

8876 DALLAS ACWORTH HWY
DALLAS, GA 30132

Paulding County (678) 574-6933

ELIZABETH ANNE MCGUIRE

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

8876 DALLAS ACWORTH HWY
DALLAS, GA 30132

Paulding County (678) 574-6933

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 1699709402. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider is doing business as Kroger Pharmacy.

Where is The Kroger Co located?

The Kroger Co is located at 8876 Dallas Acworth Hwy, Dallas, GA 30132. The listed phone number is (678) 574-6933.

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 accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Kroger Pharmacy #634 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does The Kroger Co 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.

What insurance does The 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 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.