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The Kroger Co

Community/Retail Pharmacy in Weirton, WV · enumerated 2006 · authorized official Jessie Warman, Manager Pharmacy Licensing.

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

National Provider Identifier

1508881202

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Registry record

Entity type Organization (Type 2)
Legal business name The Kroger Co
Other name <Unavail>
Practice address 3558 Main St, Weirton, WV, 26062
Fax (304) 648-6292
Enumeration date Jul 13, 2006
Last updated in NPPES Feb 4, 2020

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License MP0552282 (WV) Primary

Authorized official

Name Jessie Warman
Title Manager Pharmacy Licensing

Other identifiers

Identifier Type State Issuer
0015394000003 Medicaid PA -
2111422 Other - PK
0013178042 Medicaid WV -

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 2020-02-04.