P Praxis·MD
● Active Type 2 · Organization

The Kroger Co

Pharmacy·Atlanta, GA· NPI 1780134403 · Enumerated 2016 · 9 years on NPI
The Kroger Co is 1 of 1965 pharmacy organizations in Georgia.
NPI age
9 years
Enumerated 2016-10-05
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
2025-04-21
Source: monthly bulk 2026-05

How this organization compares

Across 1965 active pharmacy providers in Georgia.

NPI age
9 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 65% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-10Enumerated in NPPES
2016 2026

Where they practice

Primary practice location
2452 Morosgo Way Ne
Atlanta, GA 30324
📞 4049460450fax 4049460451
Mailing address
Po Box 842772
Boston, MA 022842772
📞 5137621019

Authorized official

Jessie Warman
Manager Of Pharmacy Licensing
📞 5137621263

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Pharmacy Primary
    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...
    GA license #PHRE010314 taxonomy 3336C0003X
  • Durable Medical Equipment & Medical Supplies
    A 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.
    taxonomy 332B00000X
  • Pharmacy
    A 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...
    taxonomy 333600000X

Identifiers

TypeValueNotes
05 (GA) 003181373A
01 2164511 PK

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Kroger Pharmacy #626
    Type code 3 recorded 2018-07-20
  • Kroger Pharmacy #626
    Type code 3 recorded 2016-10-05

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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