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KROGER PHARMACY
NPI 1790700474
Pharmacy - Community/Retail Pharmacy in Suwanee, GA

Active since July 13, 2006CLIA Certified · 3 labs
3651 PEACHTREE PKWY, SUWANEE, GA 30024(770) 418-2388(770) 418-0767 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kroger Pharmacy NPPES

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

KROGER PHARMACY (NPI 1790700474) is a healthcare organization registered as a community/retail pharmacy in Suwanee, Georgia and active in the NPI registry since July 2006. The organization holds 3 active CLIA laboratory certificates and lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1790700474
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTHE KROGER CO
Location Address3651 PEACHTREE PKWYSuwanee, GA 30024-6034
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(770) 418-2388
Fax(770) 418-0767
Organization SubpartNo
Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateJuly 13, 2006
Last NPPES UpdateMay 16, 2016
✔ NPI 1790700474 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 · 7893
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
3651 PEACHTREE PKWY, Suwanee, GA 30024
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Other Names 1

Doing Business AsKroger Pharmacy

Other Identifiers 5

Medicare NSC0302060749
Medicare PINP00003265
Medicare PINFLU346
Other2019152Pk
Medicaid00665684AGA

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 3

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 11D2097106

Kroger Pharmacy #434 · Suwanee, GA
Active · expires Jun 8, 2027
CLIA Number11D2097106
Laboratory TypePharmacy
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorChuck Page
Laboratory Phone(770) 418-2388
Laboratory LocationKroger Pharmacy #4343651 Peachtree Pkwy, Suwanee, GA 30024
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2098327

Kroger Pharmacy #477 · Suwanee, GA
Active · expires Jul 5, 2027
CLIA Number11D2098327
Laboratory TypePharmacy
Certificate Effective DateJuly 6, 2025
Certificate Expiration DateJuly 5, 2027
Laboratory DirectorPage Chuck
Laboratory Phone(770) 962-1352
Laboratory LocationKroger Pharmacy #4772121 Lawrenceville Suwanee Road, Suwanee, GA 30024
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D0982266

Kroger Pharmacy #426 · Suwanee, GA
Active · expires Sep 14, 2026
CLIA Number11D0982266
Laboratory TypePharmacy
Certificate Effective DateSeptember 15, 2024
Certificate Expiration DateSeptember 14, 2026
Laboratory DirectorChuck Page
Laboratory Phone(770) 932-4373
Laboratory LocationKroger Pharmacy #426400 Peachtree Industrial Blvd, Suwanee, GA 30024
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.
159 services158 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.
155 services154 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.
23 services23 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.
22 services22 patients

Medical Equipment Supplier Medicare DMEPOS 10

Medicare supplier enrollment and the product categories Kroger Pharmacy #434 carries, from the Medicare DMEPOS supplier directory.

Kroger Pharmacy #434

DMEPOS supplier · Suwanee, GAOperated by The Kroger Co
✔

Accepts Medicare assignment

Kroger Pharmacy #434 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)20304659
Medicare Participant SinceOctober 18, 2023
Supplier Location3651 Peachtree PkwySuwanee, GA 30024
Phone(770) 418-2388
Supplier Specialties
Pharmacy Grocery Store

Medicare Product Categories

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
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 6

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

GENTLE WINDS HOME CARE, LLC
Home Health
3651 PEACHTREE PKWY, SUITE 175
SUWANEE, GA 30024
Gwinnett County (678) 630-3119
MISS KATHERINE MCCHESNEY M.A.CCC-SLP
Speech-Language Pathologist
3651 PEACHTREE PKWY, SUITE E207
SUWANEE, GA 30024
Gwinnett County (404) 509-6303
MR. RICHARD M TOMELEVAGE RPH
Pharmacist (Ambulatory Care)
3651 PEACHTREE PKWY
SUWANEE, GA 30024
Gwinnett County (770) 418-2388
POOJA PATEL
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3651 PEACHTREE PKWY
SUWANEE, GA 30024
Gwinnett County (770) 418-2388
TULIKA BHUSHAN BAHUKHANDI
Pharmacist
3651 PEACHTREE PKWY
SUWANEE, GA 30024
Gwinnett County (770) 418-2388
MARJAN ZAFAR
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3651 PEACHTREE PKWY
SUWANEE, GA 30024
Gwinnett County (770) 418-2388

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 1790700474. It was assigned to this organization in the NPPES registry on July 13, 2006. The provider is doing business as Kroger Pharmacy.

Where is The Kroger Co located?

The Kroger Co is located at 3651 Peachtree Pkwy, Suwanee, GA 30024. The listed phone number is (770) 418-2388.

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 #434 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. 3 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 with the weekly NPPES data releases published by CMS.