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KROGER PHARMACY
NPI 1841363462
Pharmacy - Community/Retail Pharmacy in Indianapolis, IN

Active since November 15, 2006CLIA 15D1009883 · Waiver
2550 LAKE CIRCLE DR, INDIANAPOLIS, IN 46268(317) 879-2465(317) 879-2466 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kroger Pharmacy NPPES

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

KROGER PHARMACY (NPI 1841363462) is a healthcare organization registered as a community/retail pharmacy in Indianapolis, Indiana and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through February 26, 2027 and lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1841363462
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER LIMITED PARTNERSHIP I
Location Address2550 LAKE CIRCLE DRIndianapolis, IN 46268-4220
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(317) 879-2465
Fax(317) 879-2466
Organization SubpartNo
Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateNovember 15, 2006
Last NPPES UpdateMay 16, 2016
✔ NPI 1841363462 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 IN · 60005196
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
2550 LAKE CIRCLE DR, Indianapolis, IN 46268
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Other Names 1

Doing Business AsKroger Pharmacy

Other Identifiers 5

Medicare PINP00637372
Other2026662Pk
Medicare NSC1193770050
Medicaid100293190AIN
Medicare PIN256660

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

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 15D1009883

Kroger Pharmacy J906 · Indianapolis, IN
Active · expires Feb 26, 2027
CLIA Number15D1009883
Laboratory TypePharmacy
Certificate Effective DateFebruary 27, 2025
Certificate Expiration DateFebruary 26, 2027
Laboratory DirectorMatthew Budi
Laboratory Phone(317) 879-2465
Laboratory LocationKroger Pharmacy J9062550 Lake Circle Dr, Indianapolis, IN 46268
CLIA data matches this NPI record on: Address Name Phone
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.
129 services129 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.
127 services127 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.
14 services14 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.
14 services14 patients

Medical Equipment Supplier Medicare DMEPOS 10

Medicare supplier enrollment and the product categories Kroger Pharmacy J-906 carries, from the Medicare DMEPOS supplier directory.

Kroger Pharmacy J-906

DMEPOS supplier · Indianapolis, INOperated by Kroger Limited Partnership I
✔

Accepts Medicare assignment

Kroger Pharmacy J-906 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)20598911
Medicare Participant SinceAugust 27, 2003
Supplier Location2550 Lake Circle DrIndianapolis, IN 46268
Phone(317) 879-2465
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 7

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

DR. RACHEL LYNNETTE CALVERT PHARMD., RPH.
Pharmacist
2550 LAKE CIRCLE DR
INDIANAPOLIS, IN 46268
Marion County (317) 879-2465
JENNIFER RAYMAN PHARMD
Pharmacist
2550 LAKE CIRCLE DR, KROGER PHARMACY
INDIANAPOLIS, IN 46268
Marion County (317) 879-2465
DR. OMOLOLA ADEOYE PHARMD
Pharmacist
2550 LAKE CIRCLE DR
INDIANAPOLIS, IN 46268
Marion County (317) 879-2465
MEGAN MARCH
Pharmacist
2550 LAKE CIRCLE DR
INDIANAPOLIS, IN 46268
Marion County (317) 879-2465
DR. JENNIFER LYNN FOCHT PHARMD
Pharmacist
2550 LAKE CIRCLE DR
INDIANAPOLIS, IN 46268
Marion County (317) 579-8136
EUGENE ADU ADJEI
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2550 LAKE CIRCLE DR
INDIANAPOLIS, IN 46268
Marion County (317) 879-2465
JULIE ANN STEIGERWALD PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2550 LAKE CIRCLE DR
INDIANAPOLIS, IN 46268
Marion County (317) 879-2465

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 1841363462. It was assigned to this organization in the NPPES registry on November 15, 2006. The provider is doing business as Kroger Pharmacy.

Where is Kroger Limited Partnership I located?

Kroger Limited Partnership I is located at 2550 Lake Circle Dr, Indianapolis, IN 46268. The listed phone number is (317) 879-2465.

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 J-906 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Kroger Limited Partnership I hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D1009883) is associated with this NPI, valid through February 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kroger Limited Partnership I 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 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 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.