Organization · Type 2 NPI

The Kroger Co

Community/Retail Pharmacy · Atlanta, GA

NPI number 1780134403 Active

Practice location

2452 Morosgo Way NE
Atlanta, GA 30324

Call (404) 946-0450 Map

Fax (404) 946-0451

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	PHRE010314 (GA)

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 …

Another provider at this address

Gregory Alan Thomason, RPHPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Atlanta, GA NPI 1336747757

Other community/retail pharmacy providers in Atlanta

See all in Atlanta →

NPI record

NPI: 1780134403
Entity type: Organization (Type 2)
Issued: Oct 5, 2016
Last updated: Apr 21, 2025
Status: Active

Other names

<unavail>
Kroger Pharmacy #626 · doing business as
Kroger Pharmacy #626 · doing business as

Authorized official

Jessie Warman
Manager of Pharmacy Licensing
(513) 762-1263

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 1780134403

The Kroger Co's National Provider Identifier is 1780134403, issued on Oct 5, 2016. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Atlanta, GA. The record was last updated on Apr 21, 2025.