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KROGER PHARMACY
NPI 1972801025
Pharmacy - Community/Retail Pharmacy in Roanoke, VA

Active since March 14, 2011CLIA 49D1093735 · Waiver
3631 PETERS CREEK RD NW, ROANOKE, VA 24019(540) 563-3593(513) 563-1463 Get Directions Write a Review

NPPES record last updated: March 14, 2011. 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 1972801025) is a healthcare organization registered as a community/retail pharmacy in Roanoke, Virginia and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through December 29, 2026 and lists Karla Langworthy, Pharmacy Licensing Manager, as its authorized official.

NPPES Registry Identity

NPI1972801025
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER LIMITED PARTNERSHIP I
Location Address3631 PETERS CREEK RD NWRoanoke, VA 24019-2809
Mailing Address1014 Vine St, 3rd FloorCincinnati, OH 45202-1141 · (513) 698-1878 · Fax (513) 762-1092
Phone(540) 563-3593
Fax(513) 563-1463
Organization SubpartNo
Authorized OfficialKarla LangworthyPharmacy Licensing Manager · (513) 698-1878
Enumeration DateMarch 14, 2011
✔ NPI 1972801025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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
3631 PETERS CREEK RD NW, Roanoke, VA 24019
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Other Names 1

Doing Business AsKroger Pharmacy

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 49D1093735

Kroger Pharmacy #202 · Roanoke, VA
Active · expires Dec 29, 2026
CLIA Number49D1093735
Laboratory TypePharmacy
Certificate Effective DateDecember 30, 2024
Certificate Expiration DateDecember 29, 2026
Laboratory DirectorJamie Remines
Laboratory Phone(540) 563-3321
Laboratory LocationKroger Pharmacy #2024488 Electric Road, Roanoke, VA 24014
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

DR. JAMES MATTHEW SMITH PHARM.D.
Pharmacist
3631 PETERS CREEK RD NW
ROANOKE, VA 24019
Roanoke County (540) 266-8179
CHRISTOPHER WILLIAM BANNON PHARM.D.
Pharmacist
3631 PETERS CREEK RD NW
ROANOKE, VA 24019
Roanoke County (540) 563-3500
DOROTHY S SHAVER RD,LD/N
Dietitian, Registered
3631 PETERS CREEK RD NW
ROANOKE, VA 24019
Roanoke County (540) 561-3341
DR. STACY SOWERS SHREWSBURY PHARMD
Pharmacist
3631 PETERS CREEK RD NW
ROANOKE, VA 24019
Roanoke County (540) 561-2421
SRIVANI PENTELA
Pharmacist
3631 PETERS CREEK RD NW
ROANOKE, VA 24019
Roanoke County (732) 421-6677
DR. JAMIE T REMINES PHARM D
Pharmacist
3631 PETERS CREEK RD NW
ROANOKE, VA 24019
Roanoke County (804) 334-7619
DR. AMANDA DAWN GILLUM PHARMD
Pharmacist
3631 PETERS CREEK RD NW
ROANOKE, VA 24019
Roanoke County (804) 248-2576
CHRISTOPHER JAY KOON RPH
Pharmacist
3631 PETERS CREEK RD NW
ROANOKE, VA 24019
Roanoke County (540) 563-3593

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 1972801025. It was assigned to this organization in the NPPES registry on March 14, 2011. The provider is doing business as Kroger Pharmacy.

Where is Kroger Limited Partnership I located?

Kroger Limited Partnership I is located at 3631 Peters Creek Rd NW, Roanoke, VA 24019. The listed phone number is (540) 563-3593.

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 49D1093735) is associated with this NPI, valid through December 29, 2026. 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 March 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.