Organization · Type 2 NPI

The Kroger Co

Community/Retail Pharmacy · Rincon, GA

NPI number 1306202890 Active

Practice location

461 S Columbia Ave
Rincon, GA 31326

Call (912) 826-7665 Map

Fax (912) 826-7667

Mailing address

PO Box 842772
Boston, MA 02284-2772

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: 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 …

5 other providers at this address

Other community/retail pharmacy providers in Rincon

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NPI record

NPI: 1306202890
Entity type: Organization (Type 2)
Issued: Jan 13, 2016
Last updated: Jul 20, 2018
Status: Active

Other names

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Kroger Pharmacy #625 · doing business as
Kroger Pharmacy #625 · doing business as

Authorized official

Jessie Warman
Manager of Pharmacy Licensing
(513) 762-1019

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1306202890

The Kroger Co's National Provider Identifier is 1306202890, issued on Jan 13, 2016. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Rincon, GA. The record was last updated on Jul 20, 2018.