# THE KROGER CO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kroger Columbus Central Fill \#019
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649604166
- **Authorized official:** JESSIE WARMAN (MANAGER OF PHARMACY LICENSING)
- **Authorized official phone:** (513) 762-1019

## Contact information

- **Practice address:** 2270 RICKENBACKER PKWY W, COLUMBUS, OH 43217
- **Practice address phone:** (614) 333-5017
- **Practice address fax:** (614) 333-5029
- **Mailing address:** PO BOX 842772, BOSTON, MA 02284-2772
- **Mailing address phone:** (513) 762-1019
- **Mailing address fax:** (513) 762-1092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 022348200 | OH | — |
| 333600000X | Pharmacy | OH1762 | KY | — |
| 3336C0003X | Community/Retail Pharmacy | 64000757A | IN | Yes |
| 3336C0003X | Community/Retail Pharmacy | MO0560650 | WV | — |
| 3336M0002X | Mail Order Pharmacy | 5315062714 | MI | — |

## Other

- **Enumeration date:** 09/03/2013
- **Last updated:** 07/20/2018