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KROGER PHARMACY#21-804
NPI 1871739771
Pharmacy in Indianapolis, IN

Active since December 23, 2008CLIA 15D2014133 · Waiver
5810 E 71ST ST, INDIANAPOLIS, IN 46220(317) 813-1903(317) 813-1904 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kroger Pharmacy#21-804 NPPES

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

KROGER PHARMACY#21-804 (NPI 1871739771) is a healthcare organization registered as a pharmacy in Indianapolis, Indiana and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1871739771
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameKROGER LIMITED PARTNERSHIP I
Location Address5810 E 71ST STIndianapolis, IN 46220-4002
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(317) 813-1903
Fax(317) 813-1904
Organization SubpartNo
Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateDecember 23, 2008
Last NPPES UpdateMay 16, 2016
✔ NPI 1871739771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in IN · 60006187A
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
5810 E 71ST ST, Indianapolis, IN 46220
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Other Names 1

Doing Business AsKroger Pharmacy#21-804

Other Identifiers 4

Medicaid200953090AIN
Medicare NSC1193770703
Medicare PIN256660
Other2118298Pk

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 15D2014133

Kroger Pharmacy #804 · Indianapolis, IN
Active · expires Sep 30, 2026
CLIA Number15D2014133
Laboratory TypePharmacy
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorSandra Daly
Laboratory Phone(317) 813-1903
Laboratory LocationKroger Pharmacy #8045810 E 71st St, Indianapolis, IN 46220
CLIA data matches this NPI record on: Address 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.
130 services128 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 services125 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.
13 services13 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.
13 services13 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Kroger Pharmacy #804 carries, from the Medicare DMEPOS supplier directory.

Kroger Pharmacy #804

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

Accepts Medicare assignment

Kroger Pharmacy #804 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)20595761
Medicare Participant SinceAugust 27, 2003
Supplier Location5810 E 71st StIndianapolis, IN 46220
Phone(317) 813-1903
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 3

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

ELIZABETH LOVELAND ROBERTS NP
Nurse Practitioner (Family)
5810 E 71ST ST
INDIANAPOLIS, IN 46220
Marion County (317) 845-9653
SANDRA CHENGETAI DALY RPH
Pharmacist
5810 E 71ST ST
INDIANAPOLIS, IN 46220
Marion County (317) 813-1903
AMANDA MICHELLE FISHER
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5810 E 71ST ST
INDIANAPOLIS, IN 46220
Marion County (317) 813-1905

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 1871739771. It was assigned to this organization in the NPPES registry on December 23, 2008.

Where is Kroger Limited Partnership I located?

Kroger Limited Partnership I is located at 5810 E 71st St, Indianapolis, IN 46220. The listed phone number is (317) 813-1903.

What is Kroger Limited Partnership I's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Kroger Limited Partnership I accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Kroger Pharmacy #804 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 15D2014133) is associated with this NPI, valid through September 30, 2026. 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 with the weekly NPPES data releases published by CMS.