Kroger Limited Partnership I
Pharmacy, Community/Retail Pharmacy in Horn Lake, Mississippi
1013297548- Practice location
- 3926 Goodman RD W, Horn Lake, MS 38637-1324
- Phone
- 662-393-7868
- Fax
- 662-393-1076
- Last updated
- March 23, 2017
Kroger Limited Partnership I is a healthcare organization based in Horn Lake, MS. Kroger Limited Partnership I practices in Horn Lake, MS. The NPI Number for Kroger Limited Partnership I is 1013297548 and holds a License No. 05036 (MS). The current practice location address for Kroger Limited Partnership I is 3926 Goodman RD W, Horn Lake, MS 38637-1324 and can be reached out via phone at 662-393-7868 and via fax at 662-393-1076.
Provider Profile Details
- NPI Number
- 1013297548
- Provider Name
- Kroger Limited Partnership I
- Provider Entity Type
- Organization
- Address
- 3926 Goodman RD W, Horn Lake, MS 38637-1324
- Phone Number
- 662-393-7868
- Fax Number
- 662-393-1076
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Allison Muennich · Manager Of Pharmacy Licensing · 513-762-1019
- Other Names
- Kroger Pharmacy #499 (Doing Business As)
- Provider Enumeration Date
- August 29, 2011
- Last Update Date
- March 23, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3926 Goodman RD W
Horn Lake, MS 38637-1324 - City
- Horn Lake
- State
- Mississippi
- Zip
- 38637-1324
- Phone Number
- 662-393-7868
- Fax Number
- 662-393-1076
Provider Business Mailing Address Details
- Address
- Po Box 842772
Boston, MA 02284-2772 - City
- Boston
- State
- MA
- Zip
- 02284-2772
- Phone Number
- 513-762-1019
- Fax Number
- 513-762-1092
License Information
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- Taxonomy (2)
- Pharmacy · 333600000X
- License Number (3)
- 05036
- License State (3)
- MS
- Taxonomy (3)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacy, Community/Retail Pharmacy providers near Horn Lake, MS
View all Pharmacy, Community/Retail Pharmacy providers in Horn Lake →Frequently Asked Questions
What is the NPI number of Kroger Limited Partnership I?
The NPI number of Kroger Limited Partnership I is 1013297548. It was assigned on August 29, 2011 and is currently active in the NPPES registry.
What is the specialty of Kroger Limited Partnership I?
Kroger Limited Partnership I is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in MS under license number 05036.
Where does Kroger Limited Partnership I practice?
The practice location is 3926 Goodman RD W, Horn Lake, MS 38637-1324. The office can be reached at 662-393-7868 (phone) or 662-393-1076 (fax).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013297548 directly on the NPPES registry website.