Kroger Limited Partnership I
Pharmacy, Community/Retail Pharmacy in Mt Gay, West Virginia
1043244833- Practice location
- 25 Holden RD, Mt Gay, WV 25637
- Phone
- 304-239-2380
- Fax
- 304-239-2384
- Last updated
- April 29, 2026
Kroger Limited Partnership I is a healthcare organization based in Mt Gay, WV. Kroger Limited Partnership I practices in Mt Gay, WV. The NPI Number for Kroger Limited Partnership I is 1043244833 and holds a License No. 552289 (WV). The current practice location address for Kroger Limited Partnership I is 25 Holden RD, Mt Gay, WV 25637 and can be reached out via phone at 304-239-2380 and via fax at 304-239-2384.
Provider Profile Details
- NPI Number
- 1043244833
- Provider Name
- Kroger Limited Partnership I
- Provider Entity Type
- Organization
- Address
- 25 Holden RD, Mt Gay, WV 25637
- Phone Number
- 304-239-2380
- Fax Number
- 304-239-2384
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Lysette Seilhamer · Manager Of Licensing · 515-762-1090
- Other Names
- Kroger Pharmacy (Doing Business As)
- Provider Enumeration Date
- July 10, 2006
- Last Update Date
- April 29, 2026
- Certification Date
- April 29, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Holden RD
Mt Gay, WV 25637 - City
- Mt Gay
- State
- West Virginia
- Zip
- 25637
- Phone Number
- 304-239-2380
- Fax Number
- 304-239-2384
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)
- 552289
- License State (3)
- WV
- 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 Mt Gay, WV
View all Pharmacy, Community/Retail Pharmacy providers in Mt Gay →Frequently Asked Questions
What is the NPI number of Kroger Limited Partnership I?
The NPI number of Kroger Limited Partnership I is 1043244833. It was assigned on July 10, 2006 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 WV under license number 552289.
Where does Kroger Limited Partnership I practice?
The practice location is 25 Holden RD, Mt Gay, WV 25637. The office can be reached at 304-239-2380 (phone) or 304-239-2384 (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 1043244833 directly on the NPPES registry website.