MEDICARE: KROGER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	02-0153550-07061	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528287364
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KROGER

Provider Business Mailing Address
First Line	:	1735 N MEMORIAL DR
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-1634
Country	:	US
Telephone Number	:	740-654-2044
Fax Number	:	740-681-4069

Provider Business Practice Location Address
First Line	:	1735 N MEMORIAL DR
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-1634
Country	:	US
Telephone Number	:	740-654-2044
Fax Number	:	740-681-4069

Authorized Official
Title or Position	:	PHARMACY MANAGER
Name	:	MRS. COURTNEY BETH RINGS
Credential	:	RPH
Telephone Number	:	740-654-2044

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1013908672 — BRIAN ROBERT JENKINS MD
Practice Location Address:

1703 N MEMORIAL DR
LANCASTER, OH
43130-1634

Practice Phone: 740-653-6145
Practice Fax: 740-653-6250

1568663813 — DR. MELISSA ANN HORN PSY.D.
Practice Location Address:

1703 N MEMORIAL DR
LANCASTER, OH
43130-1634

Practice Phone: 740-773-1141
Practice Fax:

1598291080 — JENNIFER EMERSON PHARMD, RPH
Practice Location Address:

1735 N MEMORIAL DR
LANCASTER, OH
43130-1634

Practice Phone: 740-654-2046
Practice Fax:

1497281562 — JULIE ANN NEFF RPH
Practice Location Address:

1735 N MEMORIAL DR
LANCASTER, OH
43130-1634

Practice Phone: 740-654-2046
Practice Fax: 740-681-4069

1861928822 — ROBERT WING RPH
Practice Location Address:

1735 N MEMORIAL DR
LANCASTER, OH
43130-1634

Practice Phone: 740-654-2044
Practice Fax:

1689101800 — KRISTINA FRANCINE DURANT PHARMD
Practice Location Address:

1735 N MEMORIAL DR
LANCASTER, OH
43130-1634

Practice Phone: 740-654-2046
Practice Fax:

Directions to “KROGER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.