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Export Provider Record NPI 1073538757
The Kroger Co
Organization Subpart: NO
Active
NPI Number1073538757
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1073538757
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-07-13
Last Updated2016-05-16
Authorized OfficialAllison Muennich
MANAGER OF PHARMACY LICENSING
Phone: 5137621019
Mailing AddressPo Box 842772
Boston, MA 02284-2772
United States
Phone: (513) 762-1019 | Fax: (513) 762-1092
📍 View Map
Primary Practice Address5928 Zebulon Rd
Macon, GA 31210-2097
United States
Phone: (478) 757-4152 | Fax: (478) 757-9132
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDGA00649866A
Other (non-Medicare)2019059PK
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No332B00000X – Durable Medical Equipment & Medical Supplies
No333600000X – Pharmacy
Yes3336C0003X – Pharmacy, Community/Retail PharmacyGA7849
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About NPI 1073538757

The Kroger Co is an organization registered in the CMS NPPES NPI Registry with NPI number 1073538757. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Macon, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1073538757?

NPI 1073538757 belongs to The Kroger Co, a Pharmacy, Community/Retail Pharmacy in Macon, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1073538757 active?

The current status of NPI 1073538757 in the NPPES registry is Active. The record was last updated on 2016-05-16.

What specialty is NPI 1073538757?

NPI 1073538757 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 1073538757?

You can verify NPI 1073538757 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 1073538757?

The primary practice address on file for NPI 1073538757 is 5928 Zebulon Rd, Macon, GA 31210-2097. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1073538757 issued?

NPI 1073538757 was first issued (enumerated) on 2006-07-13. The NPPES record was last updated on 2016-05-16.

Practice Location Map

The Kroger Co is located at 5928 Zebulon Rd, Macon, GA. Use the map below to find directions or verify the practice location.

📍 5928 Zebulon Rd, Macon, GA 31210-2097  ·  Open in Google Maps ↗

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 1073538757. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail Pharmacy7849GA
Data Verified from CMS NPPES Last synced: 2026-06-19 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162