Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kroger Specialty Pharmacy, Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1184649782

Kroger Specialty Pharmacy, Inc is a Durable Medical Equipment & Medical Supplies in Irvine, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1821 Kaiser Ave
Irvine, CA 92614-5707
Phone: (855) 733-3126
Fax: (888) 315-3270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Specialty Pharmacy Taxonomy 3336S0011X · Licence PHY51548 (CA)

Record details

NPI number1184649782
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debra Cole — Vice President · (855) 733-3126
Other names Kroger Specialty Pharmacy Ca 3
NPI enumeratedJuly 13, 2006
Last updated in NPPESMay 8, 2020
Certification dateMay 8, 2020
Mailing address1821 Kaiser Ave, Irvine, CA 92614-5707

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