Kroger Specialty Pharmacy La Llc, NPI 1174708127
Specialty Pharmacy in Harvey, LA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1174708127 |
| NPI Entity Type | Organization |
| Provider Name | Kroger Specialty Pharmacy La Llc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 2731 Manhattan Blvd, Ste B17, Harvey, LA, US |
| Provider Mailing Address | 2731 Manhattan Blvd, Ste B17, Harvey, LA, US, 70058 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Debra J Cole |
| Official Position | VICE PRESIDENT |
| Phone | 855-733-3126 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Specialty Pharmacy |
| Classification | |
| Group | |
| License No. | PHY.006884-IR |
| License State | LA |
| Description | A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 201121390A | KS | MEDICAID | 05 |
| 0171008 | OH | MEDICAID | 05 |
| 201309380A | IN | MEDICAID | 05 |
| 7100266960 | KY | MEDICAID | 05 |
| Q035630 | TN | MEDICAID | 05 |
| 0218110 | IA | MEDICAID | 05 |
| 200340250A | OK | MEDICAID | 05 |
| 214213 | AL | MEDICAID | 05 |
| 2202669 | LA | MEDICAID | 05 |
| 003131098A | GA | MEDICAID | 05 |
| 103142281-0001 | PA | MEDICAID | 05 |
| 56970501 | NM | MEDICAID | 05 |
| 600053902 | MO | MEDICAID | 05 |
| 011924800 | FL | MEDICAID | 05 |
| 08531821 | MS | MEDICAID | 05 |
| 093928 | AZ | MEDICAID | 05 |
| 198005000 | MD | MEDICAID | 05 |
| 198294407 | AR | MEDICAID | 05 |
| 71680063 | CO | MEDICAID | 05 |
| 0643670 | NJ | MEDICAID | 05 |
| 2145940 | PK | 01 |
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