The Kroger Co
The Kroger Co is a healthcare organization registered as Community/Retail Pharmacy in Waverly, OH, holding Type 2 (organization) NPI 1417981127 since 2006. The authorized official on file is Jessie Warman, Manager of Pharmacy Licensing.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417981127 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | The Kroger Co |
| Other name | <Unavail> |
| Practice address | 220 WAVERLY PLZ, Waverly, OH, 45690 |
| Phone | 7409470128 |
| Fax | 7409410792 |
| Enumeration date | 2006-07-10 |
| Last updated in NPPES | 2025-04-21 |
Authorized official
| Name | Jessie Warman |
|---|---|
| Title | Manager of Pharmacy 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 | 021160050 | OH |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2134916 | Medicaid | OH | — |
| 2077417 | Other | — | PK |
Copy-ready billing details
Provider: The Kroger Co NPI: 1417981127 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 220 WAVERLY PLZ, Waverly, OH, 45690
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1285169995 | Abigail Ison | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Waverly, OH |
| 1770019101 | Audrey Purtee | Individual | Pharmacist | Waverly, OH |
| 1265969778 | Azzie Osborne | Individual | Pharmacist | Waverly, OH |
| 1427765759 | Caleb Miller | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Waverly, OH |
Verify this record
Cross-check NPI 1417981127 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
What type of organization is The Kroger Co?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-04-21.