Provider Type Icon

KROGER SPECIALTY INFUSION AL LLC NPI 1346210549


NPI Information

NPI: 1346210549
Provider Name: KROGER SPECIALTY INFUSION AL, LLC

Doing Business As: KROGER SPECIALTY INFUSION AL

Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
2511 ROSS CLARK CIR
DOTHAN, AL
ZIP 36301
Phone: (334) 794-1126
Get Directions

KROGER SPECIALTY INFUSION AL, LLC is a home infusion therapy pharmacy pharmacy in Dothan, AL. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. KROGER SPECIALTY INFUSION AL, LLC NPI is 1346210549. The provider is registered as an organization entity type.
The provider Is Doing Business As Kroger Specialty Infusion Al.

The provider's business location address is:

2511 ROSS CLARK CIR
DOTHAN, AL
ZIP 36301-912
Phone: (334) 794-1126
Fax: (334) 793-0592

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 1/23/2006 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
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336S0011XPharmacySpecialty PharmacyNo
43336H0001XPharmacyHome Infusion Therapy Pharmacy110739ALABAMAYes

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
1031036101MEDICAIDFLORIDA
2100003469MEDICAIDALABAMA
3003159485BMEDICAIDGEORGIA
4031036100MEDICAIDFLORIDA
5009920285MEDICAIDALABAMA
61993756OTHERPK
7003188543AMEDICAIDGEORGIA

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.