| NPI | 1043673650 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2016-03-31 |
| Last Updated | 2018-07-20 |
| Authorized Official | Jessie Warman Manager of Pharmacy Licensing Phone: 5137621263 |
| Mailing Address | Po Box 842772 Boston, MA 02284-2772 United States Phone: (513) 762-1019 📍 View Map |
| Primary Practice Address | 800 Glenwood Ave Se Atlanta, GA 30316 United States Phone: (470) 447-5040 | Fax: (470) 447-5023 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | GA | 003177043A | — |
| Other (non-Medicare) | — | 2159227 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | — | — |
| No | 333600000X – Pharmacy | — | — |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | GA | PHRE010295 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1043673650
The Kroger Co is an organization registered in the CMS NPPES NPI Registry with NPI number 1043673650. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Atlanta, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2016-03-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1043673650?
NPI 1043673650 belongs to The Kroger Co, a Pharmacy, Community/Retail Pharmacy in Atlanta, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1043673650 active?
The current status of NPI 1043673650 in the NPPES registry is Active. The record was last updated on 2018-07-20.
What specialty is NPI 1043673650?
NPI 1043673650 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1043673650?
You can verify NPI 1043673650 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1043673650?
The primary practice address on file for NPI 1043673650 is 800 Glenwood Ave Se, Atlanta, GA 30316. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1043673650 issued?
NPI 1043673650 was first issued (enumerated) on 2016-03-31. The NPPES record was last updated on 2018-07-20.
Practice Location Map
The Kroger Co is located at 800 Glenwood Ave Se, Atlanta, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as The Kroger Co. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1043673650. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | PHRE010295 | GA |