- Practice location
- 4375 Brambleton Ave, Roanoke, VA 24018-3404
- Phone
- 540-772-0605
- Fax
- 540-772-0601
- Last updated
- July 28, 2016
Kroger Limited Partnership I is a healthcare organization based in Roanoke, VA. Kroger Limited Partnership I practices in Roanoke, VA. The NPI Number for Kroger Limited Partnership I is 1063896991 and holds a License No. 0201003350 (VA). The current practice location address for Kroger Limited Partnership I is 4375 Brambleton Ave, Roanoke, VA 24018-3404 and can be reached out via phone at 540-772-0605 and via fax at 540-772-0601.
Provider Profile Details
- NPI Number
- 1063896991
- Provider Name
- Kroger Limited Partnership I
- Provider Entity Type
- Organization
- Address
- 4375 Brambleton Ave, Roanoke, VA 24018-3404
- Phone Number
- 540-772-0605
- Fax Number
- 540-772-0601
- 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 #401 (Doing Business As)
- Provider Enumeration Date
- July 9, 2015
- Last Update Date
- July 28, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4375 Brambleton Ave
Roanoke, VA 24018-3404 - City
- Roanoke
- State
- Virginia
- Zip
- 24018-3404
- Phone Number
- 540-772-0605
- Fax Number
- 540-772-0601
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
- License Number (2)
- 0201003350
- License State (2)
- VA
- Taxonomy (2)
- 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 1063896991. It was assigned on July 9, 2015 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 VA under license number 0201003350.
Where does Kroger Limited Partnership I practice?
The practice location is 4375 Brambleton Ave, Roanoke, VA 24018-3404. The office can be reached at 540-772-0605 (phone) or 540-772-0601 (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 1063896991 directly on the NPPES registry website.