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Kroger Pharmacy

Kroger Pharmacy is a healthcare organization registered as Pharmacist in Fairborn, OH, holding Type 2 (organization) NPI 1740403401 since 2007. The authorized official on file is Roy Klass, Pharmacy Manager.

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NPI 1740403401
Entity type Organization (Type 2)
Legal business name Kroger Pharmacy
Practice address 1161 E DAYTON YELLOW SPRINGS RD, Fairborn, OH, 45324
Phone 9377544427
Fax 9377544578
Enumeration date 2007-04-11
Last updated in NPPES 2020-08-22

Authorized official

Name Roy Klass
Title Pharmacy Manager
Phone 9377544427

Taxonomy & classification

Taxonomy code Specialty Primary License State
183500000X Pharmacist Primary 03321850 OH
Copy-ready billing details
Provider: Kroger Pharmacy
NPI: 1740403401
Taxonomy: 183500000X (Pharmacist)
Address: 1161 E DAYTON YELLOW SPRINGS RD, Fairborn, OH, 45324

Providers at this address

NPI Name Type Specialty Location
1831123546 Kroger Limited Partnership I Organization Community/Retail Pharmacy Fairborn, OH
1104341973 Sara Rodgers Individual Family Nurse Practitioner Fairborn, OH
1467923292 Samantha Spitz Individual Family Nurse Practitioner Fairborn, OH
1831739374 Chad Elkins Individual Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Fairborn, OH
1962033027 Joy Ely Individual Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Fairborn, OH
1073146601 Audrey Stultz Individual Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Fairborn, OH
1124626742 Timothy Carter Individual Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Fairborn, OH
1154925980 Brian Kern Individual Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Fairborn, OH

Verify this record

Cross-check NPI 1740403401 against the authoritative CMS record: view Kroger Pharmacy 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?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.
Where is Kroger Pharmacy located?
The practice location on file with NPPES is in Fairborn, OH.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.