KROGER CO
NPI 1932647179
Pharmacy - Community/Retail Pharmacy in Lake Charles, LA

Q: What is Kroger Co's NPI number?

The NPI number for Kroger Co is 1932647179. It was assigned to this organization in the NPPES registry on February 8, 2017.

Q: What is Kroger Co's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Kroger Co was last updated on March 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since February 08, 2017

2010 COUNTRY CLUB RD, LAKE CHARLES, LA 70605(337) 990-4902(337) 990-4904 Get Directions Write a Review

NPPES record last updated: March 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 15, 2018, Apr 26, 2017, Feb 28, 2017 and 1 more (4 updates tracked since 2017).

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About Kroger Co NPPES

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

KROGER CO (NPI 1932647179) is a healthcare organization registered as a community/retail pharmacy in Lake Charles, Louisiana and active in the NPI registry since February 2017. The organization lists Allison Bredestege, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1932647179

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameKROGER CO

Location Address2010 COUNTRY CLUB RDLake Charles, LA 70605-5206

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

Phone(337) 990-4902

Fax(337) 990-4904

Organization SubpartNo

Authorized OfficialAllison BredestegeManager Of Pharmacy Licensing · (513) 762-1263

Enumeration DateFebruary 8, 2017

Last NPPES UpdateMarch 15, 20184 updates tracked since enumeration

✔ NPI 1932647179 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 LA · 7474

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

2010 COUNTRY CLUB RD, Lake Charles, LA 70605

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Other Identifiers 1

Other2167707Pk

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 ›

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.

240 services235 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.

232 services227 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.

57 services57 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.

56 services56 patients

Other Providers at the Same Location NPPES 6

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

KENDRICK CHARLES WILKINS

Pharmacist