NPI age
15 years
Enumerated 2011-01-10
● 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
Bredestege
Manager Of Pharmacy Licensing
Last NPPES update
2017-12-21
Source: monthly bulk 2026-05
How this organization compares
Across 1965 active pharmacy providers in Georgia.
NPI age
15 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 65% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-01Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
505 Dacula Rd
Dacula, GA 300192125
Mailing address
Po Box 842772
Boston, MA 022842772
Authorized official
Allison Bredestege
Manager Of Pharmacy Licensing
📞 5137621019
Individual providers at this organization
11 individual providers on file at this primary practice address.
- Adwoa Aninkorah Nurse Practitioner NPI 1831674340
- Lyna Ashu Nurse Practitioner NPI 1932500600
- Josephine Belmoh, FNP Nurse Practitioner NPI 1063031706
- Valerie Cole, FNP-C Nurse Practitioner NPI 1770822397
- Lucinda Dixon, PHARMD Pharmacist NPI 1871191395
- Joann Flot Lindsey, NP Nurse Practitioner NPI 1912396953
- Andrei Hanceri Pharmacist NPI 1558022863
- Michael Leonard, FNP Nurse Practitioner NPI 1649823865
- Stacy McQuillen, FNP Nurse Practitioner NPI 1326796749
- Naika Pavrette Nurse Practitioner NPI 1619695640
- Brian Swierczek Pharmacist NPI 1538768783
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 |
|---|---|---|
| 05 (GA) | 003107006A | |
| 01 | 2128329 | PK |
Practice context
Multi-provider organization. 11 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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.