KROGER PHARMACY
NPI 1881619567
Pharmacy - Community/Retail Pharmacy in Elizabethtown, KY

Q: What is Kroger Limited Partnership I's NPI number?

The NPI number for Kroger Limited Partnership I is 1881619567. It was assigned to this organization in the NPPES registry on July 13, 2006. The provider is doing business as Kroger Pharmacy.

Q: 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.

Active since July 13, 2006CLIA Certified · 3 labs

3040 DOLPHIN DR, ELIZABETHTOWN, KY 42701(270) 737-4578(270) 737-1932 Get Directions Write a Review

NPPES record last updated: September 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2016, May 16, 2016 (2 updates tracked since 2016).

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About Kroger Pharmacy NPPES

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

KROGER PHARMACY (NPI 1881619567) is a healthcare organization registered as a community/retail pharmacy in Elizabethtown, Kentucky 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

NPI1881619567

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameKROGER LIMITED PARTNERSHIP I

Location Address3040 DOLPHIN DRElizabethtown, KY 42701-7135

Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092

Phone(270) 737-4578

Fax(270) 737-1932

Organization SubpartNo

Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019

Enumeration DateJuly 13, 2006

Last NPPES UpdateSeptember 29, 20162 updates tracked since enumeration

✔ NPI 1881619567 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 KY · 6349

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

3040 DOLPHIN DR, Elizabethtown, KY 42701

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Other Names 1

Doing Business AsKroger Pharmacy

Other Identifiers 5

Medicaid54033329KY

Other2032752Pk

Medicare NSC1193770195

Medicare PINK164440

Medicare PINP00098349

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 18D2000594

Kroger Pharmacy 717 · Elizabethtown, KY

Active · expires Dec 2, 2027

CLIA Number18D2000594

Laboratory TypePharmacy

Certificate Effective DateDecember 3, 2025

Certificate Expiration DateDecember 2, 2027

Laboratory DirectorMs. Phelirisima Roberts

Laboratory Phone(502) 737-4578

Laboratory LocationKroger Pharmacy 7173040 Dolphin Drive, Elizabethtown, KY 42701

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2344358

Kroger Pharmacy 02400747 · Elizabethtown, KY

Active · expires May 20, 2028

CLIA Number18D2344358

Laboratory TypePharmacy

Certificate Effective DateMay 21, 2026

Certificate Expiration DateMay 20, 2028

Laboratory DirectorPhelirisima Roberts

Laboratory Phone(270) 600-2915

Laboratory LocationKroger Pharmacy 024007471479 Patriot Pkwy, Elizabethtown, KY 42701

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D1103258

Kroger Pharmacy 362 · Elizabethtown, KY

Active · expires Aug 5, 2027

CLIA Number18D1103258

Laboratory TypePharmacy

Certificate Effective DateAugust 6, 2025

Certificate Expiration DateAugust 5, 2027

Laboratory DirectorMs. Phelirisima Roberts

Laboratory Phone(270) 737-1554

Laboratory LocationKroger Pharmacy 362111 Towne Drive, Elizabethtown, KY 42701

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 3

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.

246 services246 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.

239 services239 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.

39 services39 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Kroger Pharamcy #717 carries, from the Medicare DMEPOS supplier directory.

Kroger Pharamcy #717

DMEPOS supplier · Elizabethtown, KYOperated by Kroger Limited Partnership I

✔

Accepts Medicare assignment

Kroger Pharamcy #717 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)20596553

Medicare Participant SinceAugust 27, 2003

Supplier Location3040 Dolphin DrElizabethtown, KY 42701

Phone(270) 727-4578

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.

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Other Providers at the Same Location NPPES 10

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

DR. MARGUERITE VERNETTE MCBRIDE APRN-CNP

Nurse Practitioner (Family)