NPI age
12 years
Enumerated 2014-04-21
● Active Type 2 · Organization
The Kroger Co
The Kroger Co is 1 of 1965 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Warman
Manager Of Pharmacy Licensing
Last NPPES update
2018-07-20
Source: monthly bulk 2026-05
How this organization compares
Across 1965 active pharmacy providers in Georgia.
NPI age
12 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 65% of peers with subspecialties
NPI lifetime · 2014 → 2026
2014-04Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
700 Highway 29 N
Athens, GA 30601
Mailing address
Po Box 842772
Boston, MA 022842772
Authorized official
Jessie Warman
Manager Of Pharmacy Licensing
📞 5137621019
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Kia Carter, PHARMD Pharmacist NPI 1124780812
- Joseph Elder Pharmacist NPI 1770181273
- John Grigsby, NP-C Nurse Practitioner NPI 1437590155
- Robert Mann, NP Nurse Practitioner NPI 1124430558
- Jessica Moore, PHARMD Pharmacist NPI 1619504982
- Arvin Salmasi, PHARM.D. STUDENT Pharmacy Technician NPI 1407479827
- Lashunda Stephens, FNP-C Nurse Practitioner NPI 1467045492
Specialties
-
Pharmacy PrimaryA 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...
-
Durable Medical Equipment & Medical SuppliesA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
-
PharmacyA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2145501 | PK |
| 05 (GA) | 184995 |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Kroger Pharmacy #618
-
Kroger Pharmacy #618
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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