THE KROGER CO - NPI 1982777405 - Pharmacy in Shreveport, LA

Q: What is The Kroger Co's NPI number?

The NPI number for The Kroger Co is 1982777405. It was assigned to this organization in the NPPES registry on November 15, 2006.

Q: What is The 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 The Kroger Co was last updated on March 15, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About The Kroger Co NPPES

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

THE KROGER CO (NPI 1982777405) is a healthcare organization registered as a community/retail pharmacy in Shreveport, Louisiana and active in the NPI registry since November 2006. The organization lists Allison Bredestege, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1982777405

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameTHE KROGER CO

Location Address6652 YOUREE DRShreveport, LA 71105-4630

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

Phone(318) 795-9966

Fax(318) 795-0510

Organization SubpartNo

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

Enumeration DateNovember 15, 2006

Last NPPES UpdateMarch 15, 20182 updates tracked since enumeration

✔ NPI 1982777405 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 · 3973RC

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

6652 YOUREE DR, Shreveport, LA 71105

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Other Identifiers 2

Other2033708Pk

Medicaid1233765LA

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 5

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.

168 services168 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.

152 services152 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.

31 services31 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.

30 services30 patients

Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304

The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.

17 services17 patients

Other Providers at the Same Location NPPES 5

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

EVERETT MICHAEL WILKERSON RPH, D.PHARM

Pharmacist