Kroger Pharmacy N-562

LBN: The Kroger Co
Kroger Pharmacy N-562 is an health care organization with primary practice located at 200 Mount De Chantal Rd , Wheeling WV 26003-6563. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. The Kroger Co can be contacted via phone (304) 233-5485, or through Warman, Jessie via phone (513) 762-1090.

Contact Information

Primary practice address
200 Mount De Chantal Rd Wheeling WV 26003-6563
Fax: (304) 233-5487
Website:
Authorized official contact:
Name: Warman, Jessie

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X MP0552198 West Virginia

Profile Details

NPI number 1245264035
LBN Legal business name The Kroger Co
DBA Doing business as Kroger Pharmacy N-562
Authorized official Warman, Jessie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Feb 5th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245264035 NPPES
Ohio MEDICAID 2044899
Ohio MEDICAID 0015394000004
Ohio MEDICAID 0013178021
Ohio Other 2111317

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