Kroger Limited Partnership I
Pharmacy, Community/Retail Pharmacy in Brandon, Mississippi
1184658957- Practice location
- 1811 W Government St, Brandon, MS 39042-2414
- Phone
- 601-825-3697
- Fax
- 601-825-3773
- Last updated
- March 13, 2020
Kroger Limited Partnership I is a healthcare organization based in Brandon, MS. Kroger Limited Partnership I practices in Brandon, MS. The NPI Number for Kroger Limited Partnership I is 1184658957 and holds a License No. 1864012 (MS). The current practice location address for Kroger Limited Partnership I is 1811 W Government St, Brandon, MS 39042-2414 and can be reached out via phone at 601-825-3697 and via fax at 601-825-3773.
Provider Profile Details
- NPI Number
- 1184658957
- Provider Name
- Kroger Limited Partnership I
- Provider Entity Type
- Organization
- Address
- 1811 W Government St, Brandon, MS 39042-2414
- Phone Number
- 601-825-3697
- Fax Number
- 601-825-3773
- 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
- July 10, 2006
- Last Update Date
- March 13, 2020
- Certification Date
- March 13, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1811 W Government St
Brandon, MS 39042-2414 - City
- Brandon
- State
- Mississippi
- Zip
- 39042-2414
- Phone Number
- 601-825-3697
- Fax Number
- 601-825-3773
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)
- 1864012
- License State (3)
- MS
- 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 Brandon, MS
View all Pharmacy, Community/Retail Pharmacy providers in Brandon →Frequently Asked Questions
What is the NPI number of Kroger Limited Partnership I?
The NPI number of Kroger Limited Partnership I is 1184658957. 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 MS under license number 1864012.
Where does Kroger Limited Partnership I practice?
The practice location is 1811 W Government St, Brandon, MS 39042-2414. The office can be reached at 601-825-3697 (phone) or 601-825-3773 (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 1184658957 directly on the NPPES registry website.