Active NPIOrganization

Kroger Limited Partnership I

Pharmacy, Community/Retail Pharmacy in Clarksburg, West Virginia

NPI Number1306870183
Practice location
102 Emily Dr, Clarksburg, WV 26301-5501
Fax
304-623-1112
Last updated
September 27, 2021

Kroger Limited Partnership I is a healthcare organization based in Clarksburg, WV. Kroger Limited Partnership I practices in Clarksburg, WV. The NPI Number for Kroger Limited Partnership I is 1306870183 and holds a License No. 550936 (WV). The current practice location address for Kroger Limited Partnership I is 102 Emily Dr, Clarksburg, WV 26301-5501 and can be reached out via phone at 304-623-1482 and via fax at 304-623-1112.

Provider Profile Details

NPI Number
1306870183
Provider Name
Kroger Limited Partnership I
Provider Entity Type
Organization
Address
102 Emily Dr, Clarksburg, WV 26301-5501
Phone Number
304-623-1482
Fax Number
304-623-1112
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
September 27, 2021
Certification Date
September 27, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
102 Emily Dr
Clarksburg, WV 26301-5501
Zip
26301-5501
Phone Number
304-623-1482
Fax Number
304-623-1112
Clarksburg, WV 26301Get 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)
550936
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 1306870183. 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 550936.

Where does Kroger Limited Partnership I practice?

The practice location is 102 Emily Dr, Clarksburg, WV 26301-5501. The office can be reached at 304-623-1482 (phone) or 304-623-1112 (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 1306870183 directly on the NPPES registry website.

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