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KROGER PHARMACY
NPI 1790719540
Pharmacy - Community/Retail Pharmacy in Little Rock, AR

Active since July 10, 2006
6420 COLONEL GLENN RD, LITTLE ROCK, AR 72204(501) 565-0188(501) 565-9616 Get Directions Write a Review

NPPES record last updated: September 15, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 15, 2016, May 16, 2016 (2 updates tracked since 2016).

About Kroger Pharmacy NPPES

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

KROGER PHARMACY (NPI 1790719540) is a healthcare organization registered as a community/retail pharmacy in Little Rock, Arkansas and active in the NPI registry since July 2006. The organization lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1790719540
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER LIMITED PARTNERSHIP I
Location Address6420 COLONEL GLENN RDLittle Rock, AR 72204-7724
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(501) 565-0188
Fax(501) 565-9616
Organization SubpartNo
Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateJuly 10, 2006
Last NPPES UpdateSeptember 15, 20162 updates tracked since enumeration
✔ NPI 1790719540 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 AR · 420086
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
6420 COLONEL GLENN RD, Little Rock, AR 72204
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Other Names 1

Doing Business AsKroger Pharmacy

Other Identifiers 5

Medicare NSC1193770111
Medicaid140031407AR
Medicare PINP01394590
Other1993595Pk
Medicare PIN10609

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Kroger Pharmacy 632 carries, from the Medicare DMEPOS supplier directory.

Kroger Pharmacy 632

DMEPOS supplier · Little Rock, AROperated by Kroger Limited Partnership I
✔

Accepts Medicare assignment

Kroger Pharmacy 632 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)20598203
Medicare Participant SinceAugust 27, 2003
Supplier Location6420 Colonel Glenn RdLittle Rock, AR 72204
Phone(501) 565-0188
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 4

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

CASH SAVER PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
6420 COLONEL GLENN RD
LITTLE ROCK, AR 72204
Pulaski County (501) 604-3210
AMBER GOLDEN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
6420 COLONEL GLENN RD
LITTLE ROCK, AR 72204
Pulaski County (501) 565-0188
DR. LINSEY ROSE GILLAM PHARMD
Pharmacist
6420 COLONEL GLENN RD
LITTLE ROCK, AR 72204
Pulaski County (501) 565-9616
WILLIAM DERRELL DREHER
Pharmacist
6420 COLONEL GLENN RD
LITTLE ROCK, AR 72204
Pulaski County (501) 565-0188

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 1790719540. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider is doing business as Kroger Pharmacy.

Where is Kroger Limited Partnership I located?

Kroger Limited Partnership I is located at 6420 Colonel Glenn Rd, Little Rock, AR 72204. The listed phone number is (501) 565-0188.

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 632 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 Medica and Moda Health Plan, Inc. 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 September 15, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.