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KROGER PHARMACY
NPI 1861426637
Pharmacy - Community/Retail Pharmacy in Yorktown, VA

Active since July 10, 2006CLIA 49D1068294 · Waiver
101 VILLAGE AVE, YORKTOWN, VA 23693(757) 833-0406(757) 833-7687 Get Directions Write a Review

NPPES record last updated: April 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kroger Pharmacy NPPES

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

KROGER PHARMACY (NPI 1861426637) is a healthcare organization registered as a community/retail pharmacy in Yorktown, Virginia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 7, 2027 and lists Karla Langworthy, Manager Of Pharmacy Credentialing, as its authorized official.

NPPES Registry Identity

NPI1861426637
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER LIMITED PARTNERSHIP I
Location Address101 VILLAGE AVEYorktown, VA 23693-5633
Mailing Address3631 Peters Creek Rd NwRoanoke, VA 24019-2809 · (540) 563-3593 · Fax (540) 563-1436
Phone(757) 833-0406
Fax(757) 833-7687
Organization SubpartNo
Authorized OfficialKarla LangworthyManager Of Pharmacy Credentialing · (513) 698-1878
Enumeration DateJuly 10, 2006
Last NPPES UpdateApril 7, 2014
✔ NPI 1861426637 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 VA · 0201003489
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
101 VILLAGE AVE, Yorktown, VA 23693
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Other Names 1

Doing Business AsKroger Pharmacy

Other Identifiers 4

Medicare PIN880000181
Other2105035Pk
Medicaid008509069VA
Medicare NSC1193770463

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 49D1068294

Kroger Pharmacy #029-555 · Tabb, VA
Active · expires May 7, 2027
CLIA Number49D1068294
Laboratory TypePharmacy
Certificate Effective DateMay 8, 2025
Certificate Expiration DateMay 7, 2027
Laboratory DirectorLeni Gray-Wilson
Laboratory Phone(757) 833-0406
Laboratory LocationKroger Pharmacy #029-5555007 Victory Blvd Ste B, Tabb, VA 23693
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

MR. BRENT VALLEE M.A. LPC
Counselor (Professional)
101 VILLAGE AVE
YORKTOWN, VA 23693
York County (757) 743-2366
DR. THAMER KHASAWNEH PHARMD.
Pharmacist
101 VILLAGE AVE
YORKTOWN, VA 23693
York County (757) 833-0406
JENNIFER JANE SANDERS RPH
Pharmacist
101 VILLAGE AVE
YORKTOWN, VA 23693
York County (757) 880-6131
ERIN KING
Pharmacist
101 VILLAGE AVE
YORKTOWN, VA 23693
York County (757) 833-0406

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 1861426637. 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 101 Village Ave, Yorktown, VA 23693. The listed phone number is (757) 833-0406.

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 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1068294) is associated with this NPI, valid through May 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kroger Limited Partnership I was last updated on April 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.