Active NPIOrganization

Kroger Limited Partnership I

Pharmacy, Community/Retail Pharmacy in Scott Depot, West Virginia

NPI Number1124052907
Practice location
101 Great Teays Blvd, Scott Depot, WV 25560-9550
Fax
304-757-5460
Last updated
July 8, 2021

Kroger Limited Partnership I is a healthcare organization based in Scott Depot, WV. Kroger Limited Partnership I practices in Scott Depot, WV. The NPI Number for Kroger Limited Partnership I is 1124052907 and holds a License No. 550035 (WV). The current practice location address for Kroger Limited Partnership I is 101 Great Teays Blvd, Scott Depot, WV 25560-9550 and can be reached out via phone at 304-757-8952 and via fax at 304-757-5460.

Provider Profile Details

NPI Number
1124052907
Provider Name
Kroger Limited Partnership I
Provider Entity Type
Organization
Address
101 Great Teays Blvd, Scott Depot, WV 25560-9550
Phone Number
304-757-8952
Fax Number
304-757-5460
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 (Doing Business As)
Provider Enumeration Date
July 10, 2006
Last Update Date
July 8, 2021
Certification Date
June 14, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 Great Teays Blvd
Scott Depot, WV 25560-9550
Zip
25560-9550
Phone Number
304-757-8952
Fax Number
304-757-5460
Scott Depot, WV 25560Get directions →

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 (2)
Pharmacy · 333600000X
License Number (3)
550035
License State (3)
WV
Taxonomy (3)
Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 1124052907. 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 550035.

Where does Kroger Limited Partnership I practice?

The practice location is 101 Great Teays Blvd, Scott Depot, WV 25560-9550. The office can be reached at 304-757-8952 (phone) or 304-757-5460 (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 1124052907 directly on the NPPES registry website.

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