Healthcare Provider Details

I. General information

NPI: 1588325153
Provider Name (Legal Business Name): THE KROGER CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2022
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1014 VINE ST
CINCINNATI OH
45202-1141
US

IV. Provider business mailing address

PO BOX 830242
PHILADELPHIA PA
19182-0352
US

V. Phone/Fax

Practice location:
  • Phone: 513-246-3800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MARGARET DE LA FUENTE
Title or Position: DIRECTOR
Credential:
Phone: 615-425-4287