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The Kroger Co

Community/Retail Pharmacy in Shreveport, LA · enumerated 2006 · authorized official Allison Bredestege, Manager of Pharmacy Licensing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164595682

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Registry record

Entity type Organization (Type 2)
Legal business name The Kroger Co
Practice address 9155 Mansfield Rd, Shreveport, LA, 71118
Phone (318) 688-2582
Fax (318) 671-8359
Enumeration date Nov 15, 2006
Last updated in NPPES Mar 15, 2018

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 3966RC (LA) Primary

Authorized official

Name Allison Bredestege
Title Manager of Pharmacy Licensing
Phone (513) 762-1019

Other identifiers

Identifier Type State Issuer
1233731 Medicaid LA —
2031173 Other — PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is The Kroger Co?
The Kroger Co is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-15.