Kroger Specialty Pharmacy Fl 2 Llc, NPI 1508146010
Specialty Pharmacy in Orlando, FL, 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 | 1508146010 |
| NPI Entity Type | Organization |
| Provider Name |
Kroger Specialty Pharmacy Fl 2 Llc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 6435 Hazeltine National Dr Ste 140, Orlando, FL, US |
| Provider Mailing Address | 6435 Hazeltine National Dr Ste 140, Orlando, FL, US, 328225156 |
| 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. | PH25629 |
| License State | FL |
| 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 | |||||
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 004264401 | FL | MEDICAID | 05 |
| 0406939 | MT | MEDICAID | 05 |
| 097296 | AZ | MEDICAID | 05 |
| 1508146010 | NV | MEDICAID | 05 |
| 201116160B | KS | KANSAS (P) (CHILDREN WITH SPECIAL HEALTHCARE NEEDS) | 01 |
| 2049652 | VA | MEDICAID | 05 |
| Q036221 | TN | MEDICAID | 05 |
| 003131027B | GA | MEDICAID | 05 |
| 004264400 | FL | MEDICAID | 05 |
| 0506711 | NJ | MEDICAID | 05 |
| 1508146010 | WI | MEDICAID | 05 |
| 1508146010 | MI | MEDICAID | 05 |
| 16221397 | NM | MEDICAID | 05 |
| 163522375 | FL | MEDICAID | 05 |
| 500687694 | OR | MEDICAID | 05 |
| 7100257570 | KY | KENTUCKY (P), PASSPORT HEALTH PLAN, WELLCARE OF KENTUCKY | 01 |
| 100264920-00 | NE | MEDICAID | 05 |
| 103011190-0001 | PA | MEDICAID | 05 |
| 1508146010 | FL | FLORIDA CHILDREN'S MEDICAL SERVICES | 01 |
| 1508146010 | UT | MEDICAID | 05 |
| 18-20-CC-9559 | KY | KENTUCKY (CHILDREN WITH SPECIAL HEALTH CARE NEEDS) | 01 |
| 200590550A | OK | OKLAHOMA (P) CHILDREN WITH SPECIAL HEALTHCARE NEEDS PROGRAM VENDOR | 01 |
| 201116160A | KS | KANSAS (QMB) | 01 |
| 64770109 | CO | MEDICAID | 05 |
| 003131027A | GA | MEDICAID | 05 |
| 0212596 | IA | MEDICAID | 05 |
| 1508146010 | VA | MEDICAID | 05 |
| 1508146010 | ID | MEDICAID | 05 |
| Q036221 | ID | IDAHO (P) (CHILDREN WITH SPECIAL HEALTHCARE NEEDS) | 01 |
| 0406827 | MT | MEDICAID | 05 |
| 1508146010 | IN | INDIANA CHILDREN'S SPECIAL HEALTH CARE SERVICES PROGRAM | 01 |
| 1508146010 | MO | MEDICAID | 05 |
| 2131644 | PK | 01 | |
| 3102337 | NH | MEDICAID | 05 |
| 3106044 | NH | MEDICAID | 05 |
| 150015500 | MD | MEDICAID | 05 |
| 216017 | AL | MEDICAID | 05 |
| 1025997 | VT | MEDICAID | 05 |
| 201121900A | IN | MEDICAID | 05 |
| 27828701 | NM | MEDICAID | 05 |
| 7F5629 | SC | MEDICAID | 05 |
| DM1542 | SC | MEDICAID | 05 |
| 0518565 | NJ | MEDICAID | 05 |
| 15-17-CC-9559 | KY | KENTUCKY (CHILDREN WITH SPECIAL HEALTH CARE NEEDS) | 01 |
| 1508146010 | NC | MEDICAID | 05 |
| 1508146010 | MN | MEDICAID | 05 |
| 500686927 | OR | MEDICAID | 05 |
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