THE KROGER CO (NPI# 1336473701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336473701 |
| Entity Type | Organization |
| Organization Name | THE KROGER CO |
| Other Organization Name | KROGER PHARMACY |
| Practice Address |
800 W Coshocton St Johnstown OH 43031 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 7409668310 |
| Practice Fax Number | 7409668312 |
| Mailing Telephone | 5137621019 |
| Mailing Fax Number | 5137621092 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | JESSIE WARMAN (MANAGER OF PHARMACY LICENSING) |
| Authorized Official Telephone | 5137621019 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
021991400 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3004591 | 05 | |
| PK | 2122044 | 01 |
| Other Name | Type Code |
|---|---|
| KROGER PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992325567 | The Kroger Co | Pharmacy | 3255 Eden Ave, Suite 336, Cincinnati, OH 45229 | 2020-04-23 |
| 1063073047 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 725 Ponce De Leon Ave Ne, Atlanta, GA 30306-4329 | 2019-06-21 |
| 1922566017 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 27 Discovery Dr, Bluffton, SC 22901 | 2019-03-07 |
| 1699272765 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 5550 Bethelview Rd, Cumming, GA 30040 | 2018-04-06 |
| 1780134403 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 2452 Morosgo Way Ne, Atlanta, GA 30324 | 2016-10-05 |
| 1730634239 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 125 E Main St Se, Cartersville, GA 30121 | 2016-08-25 |
| 1548611288 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 9484 Ellerbe Rd Ste 100, Shreveport, LA 71106 | 2016-06-23 |
| 1710335443 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 435 Lewiston Rd, Grovetown, GA 30813 | 2016-06-03 |
| 1003262809 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1028 Roberts Branch Pkwy, Columbia, SC 29203 | 2016-05-11 |
| 1043673650 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 800 Glenwood Ave Se, Atlanta, GA 30316 | 2016-03-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | THE KROGER CO ZERO HUNGER ZERO WASTE FOUNDATION | 1014 Vine Street, Cincinnati, OH 45202 |
| Connecticut Business Registrations | The Kroger Co. | 1014 Vine Street, Cincinnati, OH 45202 |
| Oregon Corporations, Companies and Business Names | THE KROGER CO. | 1014 Vine St, Cincinnati, OH 45202 |
| Washington State Corporations | THE KROGER CO. | 1014 Vine St, Cincinnati, OH 45202-1141 |
| Virginia Business Entities | THE KROGER CO. | 1014 Vine Street, Cincinnati, Ohio 45202-1100 |
| Colorado Business Entities | THE KROGER CO. | 1014 Vine St, Cincinnati, OH 45202-1100 |
| Oklahoma Business Registrations | THE KROGER CO. | Attn: Tax Dept, 1014 Vine, Cincinnati, OH 45202-1100 |
| Oregon Corporations, Companies and Business Names | THE KROGER CO. FOUNDATION | 1014 Vine St, Cincinnati, OH 45202 |
| Washington State Corporations | THE KROGER CO. FOUNDATION | 1014 Vine St, Cincinnati, OH 45202-1141 |
| Colorado Business Entities | The Kroger Co. Foundation | 1014 Vine St, Cincinnati, OH 45202 |
| Street Address |
800 W COSHOCTON ST |
| City | JOHNSTOWN |
| State | OH |
| Zip Code | 43031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497282446 | Kati L King | Pharmacist | 800 W Coshocton St, Johnstown, OH 43031-8904 | 2017-05-20 |
| 1689101719 | Melinda Sue Aamodt | Pharmacist | 800 W Coshocton St, Johnstown, OH 43031-8904 | 2017-05-19 |
| 1457886525 | Breeci Laina Peckens | Pharmacist | 800 W Coshocton St, Johnstown, OH 43031-8904 | 2017-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417209479 | Cindy Wolt Inc | Dentist | 848 West Coshocton Street, Johnstown, OH 43031 | 2012-10-15 |
| 1548323389 | Jeffrey R Jaicks Dds LLC | Dentist | 171 W Coshocton Street, Johnstown, OH 43031 | 2006-12-19 |
| 1114091915 | Brian J Walsh Dds Inc | Dentist | 370 West Coshocton St, Johnstown, OH 43031 | 2006-11-20 |
| 1679536932 | Suellywn Stewart | Family Medicine | 151 Woodgate Dr, Johnstown, OH 43031 | 2006-04-08 |
| 1265423727 | Zandex Health Care Corp | Skilled Nursing Facility | 267 North Main Street, Johnstown, OH 43031 | 2005-11-03 |
| 1982095808 | Cindy Wolt Dds Inc | Dentist | 848 West Coshocton Street, Johnstown, OH 43031 | 2015-02-13 |
| 1154400521 | Elissa Ruth Gonidakis | Speech-Language Pathologist | 267 N Main St, Johnstown, OH 43031 | 2006-11-04 |
| 1831482090 | Sally Jean Blubaugh | Registered Nurse | 206 Edwards Rd, Johnstown, OH 43031-1060 | 2011-05-20 |
| 1114484615 | Robin E Jones | Occupational Therapy Assistant | 508 Cole Dr, Johnstown, OH 43031-1088 | 2019-02-21 |
| 1982805180 | Jefrey Russell Jaicks | Dentist | 171 W Coshocton St, Johnstown, OH 43031-1108 | 2007-05-29 |
| Find all providers in zip 43031 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114180585 | Friendly City Pharmacy, Inc | Pharmacy | 81 Osborne St, Johnstown, PA 15905-4130 | 2008-07-07 |
| 1053498923 | Pca Ventures of Colorado LLC | Pharmacy | 201 Johnstown Center Dr, Johnstown, CO 80534-9073 | 2006-10-31 |
| 1386747111 | Ohio Cvs Stores LLC | Pharmacy | 797 W Coshocton St, Johnstown, OH 43031-9581 | 2006-09-07 |
| 1346255262 | Giant Eagle Inc | Pharmacy | 1451 Scalp Ave, Johnstown, PA 15904-3334 | 2006-07-29 |
| 1891700712 | Giant Eagle Inc | Pharmacy | 344 Goucher St, Johnstown, PA 15905-3423 | 2006-07-29 |
| 1528073442 | Giant Eagle Inc | Pharmacy | 1233 - 1245 Broad St, Johnstown, PA 15906-2440 | 2006-07-29 |
| 1306867122 | Martella's Pharmacy of Park Hill, LLC | Pharmacy | 1932 William Penn Ave, Johnstown, PA 15909-1637 | 2006-07-21 |
| 1184653164 | Professional Pharmacy Services Inc. | Pharmacy | 1 N Parish Ave, Johnstown, CO 80534-9095 | 2006-07-01 |
| 1578738597 | Professional Pharmacy Services | Pharmacy | 201 Johnstown Center Dr, Johnstown, CO 80534-9073 | 2008-04-30 |
| 1841244704 | Angelo Friello Inc | Pharmacy | 2 E Main St, Johnstown, NY 12095-2623 | 2006-05-22 |
| Find all providers in JOHNSTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.