KROGER PHARMACY
NPI 1740403401
Pharmacist in Fairborn, OH
NPI Status: Active since April 11, 2007
Contact Information
1161 E DAYTON YELLOW SPRINGS RD
FAIRBORN, OH
ZIP 45324
Phone: (937) 754-4427
Fax: (937) 754-4578
- Organization
- Pharmacist
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 36D1019809
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 08-22-2027
About KROGER PHARMACY
This page provides the complete NPI Profile along with additional information for Kroger Pharmacy, a provider established in Fairborn, Ohio operating as a Pharmacist. The healthcare provider is registered in the NPI registry with number 1740403401 assigned on April 2007. The practitioner's primary taxonomy code is 183500000X with license number 03321850 (OH). The provider is registered as an organization and their NPI record was last updated 6 years ago. Kroger Pharmacy operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Roy Klass Rph (Pharmacy Manager)
- NPI
- 1740403401
- Provider Name
- KROGER PHARMACY
- Entity Type
- Organization
- Location Address
- 1161 E DAYTON YELLOW SPRINGS RD FAIRBORN, OH 45324
- Location Phone
- (937) 754-4427
- Location Fax
- (937) 754-4578
- Mailing Address
- 1161 E DAYTON YELLOW SPRINGS RD FAIRBORN, OH 45324
- Mailing Phone
- (937) 754-4427
- Mailing Fax
- (937) 754-4578
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-11-2007
- Last Update Date
- 08-22-2020
- Code Navigator
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 20597033 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.
- 03321850
- License State
- OH
- 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 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20597033
- 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
- 36D1019809
- Facility Type
- Pharmacy
- Certificate Effective Date
- August 23, 2025
- Certificate Expiration Date
- August 22, 2027
- Laboratory Director
- MICHELLE IZOR
- 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 1740403401, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
FAIRBORN, OH 45324
FAIRBORN, OH 45324
FAIRBORN, OH 45324
FAIRBORN, OH 45324
FAIRBORN, OH 45324
FAIRBORN, OH 45324
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740403401, enumerated as an "organization" on April 11, 2007.
The provider is located at 1161 E DAYTON YELLOW SPRINGS RD FAIRBORN, OH 45324 and the phone number is (937) 754-4427.
Pharmacist with taxonomy code 183500000X.
