- Practice location
- 4579 Wall Triana Hwy, Madison, AL 35758-9305
- Phone
- 256-461-8530
- Fax
- 256-464-5528
- Last updated
- September 19, 2025
Kroger Limited Partnership I is a healthcare organization based in Madison, AL. Kroger Limited Partnership I practices in Madison, AL. The NPI Number for Kroger Limited Partnership I is 1013368216 and holds a License No. 114648 (AL). The current practice location address for Kroger Limited Partnership I is 4579 Wall Triana Hwy, Madison, AL 35758-9305 and can be reached out via phone at 256-461-8530 and via fax at 256-464-5528.
Provider Profile Details
- NPI Number
- 1013368216
- Provider Name
- Kroger Limited Partnership I
- Provider Entity Type
- Organization
- Address
- 4579 Wall Triana Hwy, Madison, AL 35758-9305
- Phone Number
- 256-461-8530
- Fax Number
- 256-464-5528
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Allison Muennich · Manager Of Pharmacy Licensing · 513-762-1263
- Other Names
- Kroger Pharmacy #605 (Doing Business As)
- Provider Enumeration Date
- June 29, 2016
- Last Update Date
- September 19, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4579 Wall Triana Hwy
Madison, AL 35758-9305 - City
- Madison
- State
- Alabama
- Zip
- 35758-9305
- Phone Number
- 256-461-8530
- Fax Number
- 256-464-5528
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
License Information
- Taxonomy (1)
- Pharmacy · 333600000X
- Taxonomy (2)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- License Number (3)
- 114648
- License State (3)
- AL
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Kroger Limited Partnership I?
The NPI number of Kroger Limited Partnership I is 1013368216. It was assigned on June 29, 2016 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 AL under license number 114648.
Where does Kroger Limited Partnership I practice?
The practice location is 4579 Wall Triana Hwy, Madison, AL 35758-9305. The office can be reached at 256-461-8530 (phone) or 256-464-5528 (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 1013368216 directly on the NPPES registry website.