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KROGER PHARMACY NPI 1598215840


NPI Information

NPI: 1598215840
Provider Name: KROGER PHARMACY
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 19D2016591

Address:
6652 YOUREE DR
SHREVEPORT, LA
ZIP 71105
Phone: (318) 795-9966
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KROGER PHARMACY is a community/retail pharmacy pharmacy in Shreveport, LA. 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 PHARMACY NPI is 1598215840. The provider is registered as an organization entity type.

The provider's business location address is:

6652 YOUREE DR
SHREVEPORT, LA
ZIP 71105-630
Phone: (318) 795-9966

The provider's authorized official is Rhonny Valentine .
The authorized official title is Pharmacist In Charge and has the following contact phone number (318) 795-9966.

The CLIA number assigned to this NPI record is 19D2016591 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2016 and was last updated on 10/11/2016.


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
13336C0003XPharmacyCommunity/Retail Pharmacy021693LOUISIANAYes

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

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