Kroger Limited Partnership I
Pharmacy, Community/Retail Pharmacy in Vicksburg, Mississippi
1164670063- Practice location
- 3408 Pemberton Square Blvd, Vicksburg, MS 39180-5573
- Phone
- 601-630-4003
- Fax
- 601-630-4004
- Last updated
- March 13, 2020
Kroger Limited Partnership I is a healthcare organization based in Vicksburg, MS. Kroger Limited Partnership I practices in Vicksburg, MS. The NPI Number for Kroger Limited Partnership I is 1164670063 and holds a License No. 07832 (MS). The current practice location address for Kroger Limited Partnership I is 3408 Pemberton Square Blvd, Vicksburg, MS 39180-5573 and can be reached out via phone at 601-630-4003 and via fax at 601-630-4004.
Provider Profile Details
- NPI Number
- 1164670063
- Provider Name
- Kroger Limited Partnership I
- Provider Entity Type
- Organization
- Address
- 3408 Pemberton Square Blvd, Vicksburg, MS 39180-5573
- Phone Number
- 601-630-4003
- Fax Number
- 601-630-4004
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Jessie Warman · Manager Of Pharmacy Licensing · 513-762-1090
- Other Names
- Kroger Pharmacy (Doing Business As)
- Provider Enumeration Date
- September 4, 2008
- Last Update Date
- March 13, 2020
- Certification Date
- March 13, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3408 Pemberton Square Blvd
Vicksburg, MS 39180-5573 - City
- Vicksburg
- State
- Mississippi
- Zip
- 39180-5573
- Phone Number
- 601-630-4003
- Fax Number
- 601-630-4004
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)
- 07832
- License State (2)
- MS
- 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. | |||
Other Pharmacy, Community/Retail Pharmacy providers near Vicksburg, MS
View all Pharmacy, Community/Retail Pharmacy providers in Vicksburg →Frequently Asked Questions
What is the NPI number of Kroger Limited Partnership I?
The NPI number of Kroger Limited Partnership I is 1164670063. It was assigned on September 4, 2008 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 07832.
Where does Kroger Limited Partnership I practice?
The practice location is 3408 Pemberton Square Blvd, Vicksburg, MS 39180-5573. The office can be reached at 601-630-4003 (phone) or 601-630-4004 (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 1164670063 directly on the NPPES registry website.