Kroger Specialty Pharmacy Fl 2 Llc is a Specialty Pharmacy based in Orlando, FL and is specialized in Specialty Pharmacy. Kroger Specialty Pharmacy Fl 2 Llc practices in Orlando, FL. The NPI Number for Kroger Specialty Pharmacy Fl 2 Llc is 1508146010 and holds a License No. (Florida).
The current practice location address for Kroger Specialty Pharmacy Fl 2 Llc is 6435 Hazeltine National Dr Ste 140, Orlando, FL and can be reached out via phone at 855-274-1694 and via fax at 855-819-6922.
Location: 6435 Hazeltine National Dr Ste 140, Orlando, FL, 32822-5156
Provider Profile Details
NPI Number
1508146010
Provider Name
Kroger Specialty Pharmacy Fl 2 Llc
Credential
Provider Entity Type
Organization
Address
6435 Hazeltine National Dr Ste 140, Orlando, FL, 32822-5156
Phone Number
855-274-1694
Fax Number
855-819-6922
Provider Enumeration Date
08/29/2011
Last Update Date
02/15/2025
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004264401 | 05 | FL | |
| 0406939 | 05 | MT | |
| 097296 | 05 | AZ | |
| 1508146010 | 05 | NV | |
| 201116160B | 01 | KS | KANSAS (P) (CHILDREN WITH SPECIAL HEALTHCARE NEEDS) |
| 2049652 | 05 | VA | |
| Q036221 | 05 | TN | |
| 003131027B | 05 | GA | |
| 004264400 | 05 | FL | |
| 0506711 | 05 | NJ | |
| 1508146010 | 05 | WI | |
| 1508146010 | 05 | MI | |
| 16221397 | 05 | NM | |
| 163522375 | 05 | FL | |
| 500687694 | 05 | OR | |
| 7100257570 | 01 | KY | KENTUCKY (P), PASSPORT HEALTH PLAN, WELLCARE OF KENTUCKY |
| 100264920-00 | 05 | NE | |
| 103011190-0001 | 05 | PA | |
| 1508146010 | 01 | FL | FLORIDA CHILDREN'S MEDICAL SERVICES |
| 1508146010 | 05 | UT | |
| 18-20-CC-9559 | 01 | KY | KENTUCKY (CHILDREN WITH SPECIAL HEALTH CARE NEEDS) |
| 200590550A | 01 | OK | OKLAHOMA (P) CHILDREN WITH SPECIAL HEALTHCARE NEEDS PROGRAM VENDOR |
| 201116160A | 01 | KS | KANSAS (QMB) |
| 64770109 | 05 | CO | |
| 003131027A | 05 | GA | |
| 0212596 | 05 | IA | |
| 1508146010 | 05 | VA | |
| 1508146010 | 05 | ID | |
| Q036221 | 01 | ID | IDAHO (P) (CHILDREN WITH SPECIAL HEALTHCARE NEEDS) |
| 0406827 | 05 | MT | |
| 1508146010 | 01 | IN | INDIANA CHILDREN'S SPECIAL HEALTH CARE SERVICES PROGRAM |
| 1508146010 | 05 | MO | |
| 2131644 | 01 | PK | |
| 3102337 | 05 | NH | |
| 3106044 | 05 | NH | |
| 150015500 | 05 | MD | |
| 216017 | 05 | AL | |
| 1025997 | 05 | VT | |
| 201121900A | 05 | IN | |
| 27828701 | 05 | NM | |
| 7F5629 | 05 | SC | |
| DM1542 | 05 | SC | |
| 0518565 | 05 | NJ | |
| 15-17-CC-9559 | 01 | KY | KENTUCKY (CHILDREN WITH SPECIAL HEALTH CARE NEEDS) |
| 1508146010 | 05 | NC | |
| 1508146010 | 05 | MN | |
| 500686927 | 05 | OR |
Provider Business Practice Location Address Details
Address
6435 Hazeltine National Dr Ste 140
City
State
Zip
32822-5156
Phone Number
855-274-1694
Fax Number
855-819-6922
Provider Business Mailing Address Details
Address
6435 Hazeltine National Dr Ste 140
City
State
Zip
32822-5156
Phone Number
855-274-1694
Fax Number
855-819-6922
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
PH25629 (Florida)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
License No.
()
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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