Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Kroger Specialty Pharmacy, Inc.

Pharmacy in Irvine, CA · enumerated 2006 · authorized official Debra Cole, Vice President.

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

National Provider Identifier

1184649782

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Kroger Specialty Pharmacy, Inc.

Other name <Unavail>

Practice address 1821 Kaiser Ave, Irvine, CA, 92614

Phone (855) 733-3126

Fax (888) 315-3270

Enumeration date Jul 13, 2006

Last updated in NPPES May 8, 2020

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

333600000X Pharmacy Suppliers Primary

3336S0011X Specialty Pharmacy Suppliers · License PHY51548 (CA) Secondary

Authorized official

Name Debra Cole

Title Vice President

Phone (855) 733-3126

Other identifiers

Identifier	Type	State	Issuer
60000708	Medicaid	NM	-
140622100	Medicaid	WY	-
1184649782	Medicaid	CA	-
1626534	Medicaid	AK	-
94789061	Medicaid	CO	-
092265	Medicaid	AZ	-
2043938	Medicaid	WA	-
7176839	Medicaid	MT	-
1184649782	Medicaid	UT	-
1184649782	Medicaid	ID	-

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Kroger Specialty Pharmacy, Inc. located?

The practice location on file with NPPES is in Irvine, CA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-05-08. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Linh Youn Pharmacist · Irvine, CA NPI 1073936753

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-05-08.