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KROGER SPECIALTY PHARMACY CA LLC NPI 1013913458


NPI Information

NPI: 1013913458
Provider Name: KROGER SPECIALTY PHARMACY CA, LLC
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
7373 LINCOLN WAY
GARDEN GROVE, CA
ZIP 92841
Phone: (714) 622-6700
Get Directions

KROGER SPECIALTY PHARMACY CA, LLC is a community/retail pharmacy pharmacy in Garden Grove, CA. The provider is 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. KROGER SPECIALTY PHARMACY CA, LLC NPI is 1013913458. The provider is registered as an organization entity type.

The provider's business location address is:

7373 LINCOLN WAY
GARDEN GROVE, CA
ZIP 92841-428
Phone: (714) 622-6700
Fax: (866) 539-1092

The provider's authorized official is Debra J Cole .
The authorized official title is Vice President and has the following contact phone number (855) 733-3126.

The enumeration date for this NPI number is 6/21/2005 and was last updated on 5/8/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
3333600000XPharmacyNo
43336C0003XPharmacyCommunity/Retail PharmacyPHY54648CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
124079073MEDICAIDCOLORADO
235356383MEDICAIDNEW MEXICO
3825265MEDICAIDARIZONA
4500739393MEDICAIDOREGON
51013913458MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.