# THE KROGER CO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** KROGER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003840810
- **Authorized official:** MATT MINEER (INTERFACE MANAGER)
- **Authorized official phone:** (513) 387-7074

## Contact information

- **Practice address:** 9701 FORD AVE, RICHMOND HILL, GA 31324-6422
- **Practice address phone:** (912) 756-2255
- **Practice address fax:** (912) 756-2607
- **Mailing address:** 2175 PARKLAKE DR NE, ATLANTA, GA 30345-2845
- **Mailing address phone:** (770) 496-5332
- **Mailing address fax:** (770) 496-7562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 8330 | GA | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 09/29/2009