Kroger Specialty Pharmacy, Inc.
Kroger Specialty Pharmacy, Inc. is a healthcare organization registered as Pharmacy in Irvine, CA, holding Type 2 (organization) NPI 1184649782 since 2006. The authorized official on file is Debra Cole, Vice President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1184649782 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kroger Specialty Pharmacy, Inc. |
| Other name | <Unavail> |
| Practice address | 1821 KAISER AVE, Irvine, CA, 92614 |
| Phone | 8557333126 |
| Fax | 8883153270 |
| Enumeration date | 2006-07-13 |
| Last updated in NPPES | 2020-05-08 |
Authorized official
| Name | Debra Cole |
|---|---|
| Title | Vice President |
| Phone | 8557333126 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336S0011X | Specialty Pharmacy | Secondary | PHY51548 | CA |
| 333600000X | Pharmacy | Primary | — | — |
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 | — |
Copy-ready billing details
Provider: Kroger Specialty Pharmacy, Inc. NPI: 1184649782 Taxonomy: 333600000X (Pharmacy) Address: 1821 KAISER AVE, Irvine, CA, 92614
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1073936753 | Linh Youn | Individual | Pharmacist | Irvine, CA |
Verify this record
Cross-check NPI 1184649782 against the authoritative CMS record: view Kroger Specialty Pharmacy, Inc. on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
Where is Kroger Specialty Pharmacy, Inc. located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-05-08.