Kroger Specialty Pharmacy Fl 2 Llc
Specialty Pharmacy
6435 Hazeltine National Dr Ste 140, Orlando
Florida, 32822-5156
855-274-1694 855-819-6922
Kroger Specialty Pharmacy Fl 2 Llc is a Specialty Pharmacy in Orlando, Florida. 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 Llc 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 Llc is PH25629 for Specialty Pharmacy in Florida. Kroger Specialty Pharmacy Fl 2 Llc 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 Llc 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 Llc 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 Llc |
| 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 Llc 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 Llc 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 Llc at
6435 Hazeltine National Dr Ste 140, Orlando, Florida or can
call on customer care at 855-274-1694.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.