Kroger Specialty Pharmacy Fl 2 is an authorized DME supplier for medicare equipments and products.
Kroger Specialty Pharmacy Fl 2 is a Specialty Pharmacy in Orlando, Florida. This pharmacy is owned and operated by Kroger Specialty Pharmacy Fl 2 Llc. It is located at 6435 Hazeltine National Dr Ste 140, Orlando and it's customer support contact number is 855-274-1694. The authorized person of Kroger Specialty Pharmacy Fl 2 is Debra J Cole who is Vice President of the pharmacy and his contact number is 855-733-3126. Active license number of Kroger Specialty Pharmacy Fl 2 is PH25629 for Specialty Pharmacy in Florida. Kroger Specialty Pharmacy Fl 2 accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Kroger Specialty Pharmacy Fl 2 is 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.
Pharmacy Details:
Kroger Specialty Pharmacy Fl 2 type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Kroger Specialty Pharmacy Fl 2
Type:
Specialty Pharmacy
Location:
6435 Hazeltine National Dr Ste 140, Orlando, Florida, 32822-5156
Phone:
855-274-1694
Fax:
855-819-6922
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Debra J Cole
Position:
Vice President
Contact Number:
855-733-3126
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1508146010
NPI Enumeration Date:
29 Aug, 2011
NPI Last Update On:
30 Sep, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kroger Specialty Pharmacy Fl 2 are as mentioned below.
Specialization
License Number
State
Status
Specialty Pharmacy
PH25629
Florida
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Pharmacy
Secondary
Community/Retail Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
004264401
Medicaid
Florida
0406939
Medicaid
Montana
097296
Medicaid
Arizona
1508146010
Medicaid
Nevada
201116160B
Other
Kansas
Kansas (p) (children With Special Healthcare Needs)
2049652
Medicaid
Virginia
Q036221
Medicaid
Tennessee
003131027B
Medicaid
Georgia
004264400
Medicaid
Florida
0506711
Medicaid
New Jersey
1508146010
Medicaid
Wisconsin
1508146010
Medicaid
Michigan
16221397
Medicaid
New Mexico
163522375
Medicaid
Florida
500687694
Medicaid
Oregon
7100257570
Other
Kentucky
Kentucky (p), Passport Health Plan, Wellcare Of Kentucky
100264920-00
Medicaid
Nebraska
103011190-0001
Medicaid
Pennsylvania
1508146010
Other
Florida
Florida Children's Medical Services
1508146010
Medicaid
Utah
18-20-CC-9559
Other
Kentucky
Kentucky (children With Special Health Care Needs)
200590550A
Other
Oklahoma
Oklahoma (p) Children With Special Healthcare Needs Program Vendor
201116160A
Other
Kansas
Kansas (qmb)
64770109
Medicaid
Colorado
003131027A
Medicaid
Georgia
0212596
Medicaid
Iowa
1508146010
Medicaid
Virginia
1508146010
Medicaid
Idaho
Q036221
Other
Idaho
Idaho (p) (children With Special Healthcare Needs)
0406827
Medicaid
Montana
1508146010
Other
Indiana
Indiana Children's Special Health Care Services Program
1508146010
Medicaid
Missouri
2131644
Other
Pk
3102337
Medicaid
New Hampshire
3106044
Medicaid
New Hampshire
150015500
Medicaid
Maryland
216017
Medicaid
Alabama
1025997
Medicaid
Vermont
201121900A
Medicaid
Indiana
27828701
Medicaid
New Mexico
7F5629
Medicaid
South Carolina
DM1542
Medicaid
South Carolina
0518565
Medicaid
New Jersey
15-17-CC-9559
Other
Kentucky
Kentucky (children With Special Health Care Needs)
1508146010
Medicaid
North Carolina
1508146010
Medicaid
Minnesota
500686927
Medicaid
Oregon
Medicare Enrollment:
Kroger Specialty Pharmacy Fl 2 is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
6002073103
O20120201000290
Kroger Specialty Pharmacy Fl 2, Llc
DME SUPPLIER - PHARMACY
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6435 Hazeltine National Dr Ste 140, Orlando, Florida
Zip:
32822-5156
Phone Number:
855-274-1694
Fax Number:
855-819-6922
Patients can reach Kroger Specialty Pharmacy Fl 2 at 6435 Hazeltine National Dr Ste 140, Orlando, Florida or can call on customer care at 855-274-1694.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.