Kroger Co
NPI 1154294205 · Community/Retail Pharmacy · Bethlehem, GA
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kroger Co is a Community/Retail Pharmacy organization in Bethlehem, GA (NPI 1154294205).
Provider details
- NPI number
- 1154294205
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Lysette Seilhamer, Manager of Licensing(513) 762-1090
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Kroger Drugstore #622
Registry dates
- Enumerated
- 2025-09-25
- Last updated
- 2025-09-25
- Certified
- 2025-09-11
Frequently asked questions
- What is Kroger Co's NPI number?
- Kroger Co's National Provider Identifier (NPI) is 1154294205, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kroger Co?
- Kroger Co is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Kroger Co located?
- Kroger Co's practice location on file with NPPES is 995 Loganville Highway, Bethlehem, GA 30620.
- What is Kroger Co's phone number?
- The practice phone number listed in the NPPES registry for Kroger Co is (470) 900-2960.
- Does Kroger Co accept Medicare?
- Kroger Co is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kroger Co?
- The authorized official listed on Kroger Co's NPPES record is Lysette Seilhamer, Manager of Licensing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kroger Co's NPI active?
- Yes — Kroger Co's NPI (1154294205) is active in the NPPES registry as of the last update on 2025-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.