- Practice location
- 2525 Nichols Ave, Dyersburg, TN 38024-1657
- Phone
- 731-285-6030
- Fax
- 731-285-6031
- Last updated
- March 13, 2020
Kroger Limited Partnership I is a healthcare organization based in Dyersburg, TN. Kroger Limited Partnership I practices in Dyersburg, TN. The NPI Number for Kroger Limited Partnership I is 1215961941 and holds a License No. C0476 (TN). The current practice location address for Kroger Limited Partnership I is 2525 Nichols Ave, Dyersburg, TN 38024-1657 and can be reached out via phone at 731-285-6030 and via fax at 731-285-6031.
Provider Profile Details
- NPI Number
- 1215961941
- Provider Name
- Kroger Limited Partnership I
- Provider Entity Type
- Organization
- Address
- 2525 Nichols Ave, Dyersburg, TN 38024-1657
- Phone Number
- 731-285-6030
- Fax Number
- 731-285-6031
- 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
- 2525 Nichols Ave
Dyersburg, TN 38024-1657 - City
- Dyersburg
- State
- Tennessee
- Zip
- 38024-1657
- Phone Number
- 731-285-6030
- Fax Number
- 731-285-6031
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)
- C0476
- License State (3)
- TN
- 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 Dyersburg, TN
View all Pharmacy, Community/Retail Pharmacy providers in Dyersburg →Frequently Asked Questions
What is the NPI number of Kroger Limited Partnership I?
The NPI number of Kroger Limited Partnership I is 1215961941. 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 TN under license number C0476.
Where does Kroger Limited Partnership I practice?
The practice location is 2525 Nichols Ave, Dyersburg, TN 38024-1657. The office can be reached at 731-285-6030 (phone) or 731-285-6031 (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 1215961941 directly on the NPPES registry website.