Kroger Specialty Pharmacy, Inc.
NPI 1184649782ActiveOrganization· Pharmacy· Irvine, CA
Pharmacy in Irvine, California, registered in NPPES in July 2006. The authorized official on file is Debra J. Cole, Vice President.
Overview
| NPI | 1184649782 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 13, 2006 |
| Last updated in NPPES | May 8, 2020 |
| Certified by provider | May 8, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Specialty Pharmacy | 3336S0011X | PHY51548 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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