The Kroger Co
The Kroger Co is a healthcare organization registered as Community/Retail Pharmacy in Wheeling, WV, holding Type 2 (organization) NPI 1245264035 since 2006. The authorized official on file is Jessie Warman, Manager Rx Licensing.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1245264035 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | The Kroger Co |
| Other name | <Unavail> |
| Practice address | 200 MOUNT DE CHANTAL RD, Wheeling, WV, 26003 |
| Phone | 3042335485 |
| Fax | 3042335487 |
| Enumeration date | 2006-07-10 |
| Last updated in NPPES | 2020-02-05 |
Authorized official
| Name | Jessie Warman |
|---|---|
| Title | Manager Rx Licensing |
| Phone | 5137621090 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | MP0552198 | WV |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2044899 | Medicaid | OH | — |
| 0015394000004 | Medicaid | PA | — |
| 0013178021 | Medicaid | WV | — |
| 2111317 | Other | — | PK |
Copy-ready billing details
Provider: The Kroger Co NPI: 1245264035 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 200 MOUNT DE CHANTAL RD, Wheeling, WV, 26003
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1881909364 | Matthew Rafa | Individual | Pharmacist | Wheeling, WV |
| 1255786364 | Amber Kacsmar | Individual | Pharmacist | Wheeling, WV |
| 1033565312 | Michael Litlle | Individual | Pharmacist | Wheeling, WV |
Verify this record
Cross-check NPI 1245264035 against the authoritative CMS record: view The Kroger Co 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
How current is this record?
Where is The Kroger Co located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-02-05.