Kroger Pharmacy #653

LBN: The Kroger Co
Kroger Pharmacy #653 is an health care organization with primary practice located at 8465 Holcomb Bridge Rd , Johns Creek GA 30022. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. The Kroger Co can be contacted via phone (770) 552-4705, or through Warman, Jessie via phone (513) 762-1019.

Contact Information

Primary practice address
8465 Holcomb Bridge Rd Johns Creek GA 30022
Phone: (770) 552-4705
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Warman, Jessie
Phone: (513) 762-1019

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1467794768
LBN Legal business name The Kroger Co
DBA Doing business as Kroger Pharmacy #653
Authorized official Warman, Jessie
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2013
Last updated Jul 20th, 2018 - about 6 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 1467794768 NPPES
Other 2139584 PK
MEDICAID 003134873A PK

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