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KROGER PHARMACY NPI 1740403401


NPI Information

NPI: 1740403401
Provider Name: KROGER PHARMACY
Classification: Pharmacist - 183500000X
Entity Type: Organization

CLIA Number: 36D2028731

Address:
1161 E DAYTON YELLOW SPRINGS RD
FAIRBORN, OH
ZIP 45324
Phone: (937) 754-4427
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KROGER PHARMACY is a pharmacist in Fairborn, OH. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. KROGER PHARMACY NPI is 1740403401. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1161 E DAYTON YELLOW SPRINGS RD
FAIRBORN, OH
ZIP 45324-325
Phone: (937) 754-4427
Fax: (937) 754-4578

The provider's authorized official is Roy Klass .
The authorized official title is Pharmacy Manager and has the following contact phone number (937) 754-4427.

The CLIA number assigned to this NPI record is 36D2028731 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 8/22/2020.


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
1183500000XPharmacist03321850OHIOYes

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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