Kroger Limited Partnership I
Pharmacy, Community/Retail Pharmacy in Mount Vernon, Illinois
1316971120- Practice location
- 415 S 42ND St, Mount Vernon, IL 62864-6266
- Phone
- 618-244-9660
- Fax
- 618-244-9551
- Last updated
- May 18, 2016
Kroger Limited Partnership I is a healthcare organization based in Mount Vernon, IL. Kroger Limited Partnership I practices in Mount Vernon, IL. The NPI Number for Kroger Limited Partnership I is 1316971120 and holds a License No. 54013385 (IL). The current practice location address for Kroger Limited Partnership I is 415 S 42ND St, Mount Vernon, IL 62864-6266 and can be reached out via phone at 618-244-9660 and via fax at 618-244-9551.
Provider Profile Details
- NPI Number
- 1316971120
- Provider Name
- Kroger Limited Partnership I
- Provider Entity Type
- Organization
- Address
- 415 S 42ND St, Mount Vernon, IL 62864-6266
- Phone Number
- 618-244-9660
- Fax Number
- 618-244-9551
- 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
- May 18, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 415 S 42ND St
Mount Vernon, IL 62864-6266 - City
- Mount Vernon
- State
- Illinois
- Zip
- 62864-6266
- Phone Number
- 618-244-9660
- Fax Number
- 618-244-9551
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)
- 54013385
- License State (3)
- IL
- 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. | |||
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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 1316971120. 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 IL under license number 54013385.
Where does Kroger Limited Partnership I practice?
The practice location is 415 S 42ND St, Mount Vernon, IL 62864-6266. The office can be reached at 618-244-9660 (phone) or 618-244-9551 (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 1316971120 directly on the NPPES registry website.