The Kroger Co, NPI 1497789119
Community/Retail Pharmacy in Mount Vernon, OH, US

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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 1497789119
NPI Entity Type Organization
Provider Name The Kroger Co
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 855 Coshocton Ave, Mount Vernon, OH, US
Provider Mailing Address Po Box 842772, Boston, MA, US, 022842772
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Jessie Warman
Official Position MANAGER PHARMACY LICENSING
Phone 513-762-1090

Primary Taxonomy

Taxonomy Code

3336C0003X

Taxonomy Name Community/Retail Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 021281100
License State OH
Description 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.

Other Organization Name

KROGER PHARMACY
Doing Business As

Business Address

The Kroger Co
855 Coshocton Ave

Mount Vernon, OH, US

Phone: 740-393-2487
Fax: 740-393-2783

Mailing Address

The Kroger Co
Po Box 842772
Boston, MA, US
ZIP 022842772
Phone: 513-762-1019
Fax: 513-762-1092

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

No

333600000X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
2261225 OH MEDICAID 05
2078408 PK 01

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