Kroger Limited Partnership I
Pharmacy, Community/Retail Pharmacy in Russellville, Arkansas
1316971161- Practice location
- 1003 W Main St, Russellville, AR 72801-3517
- Phone
- 479-890-3402
- Fax
- 479-890-3407
- Last updated
- April 28, 2025
Kroger Limited Partnership I is a healthcare organization based in Russellville, AR. Kroger Limited Partnership I practices in Russellville, AR. The NPI Number for Kroger Limited Partnership I is 1316971161 and holds a License No. 20254 (AR). The current practice location address for Kroger Limited Partnership I is 1003 W Main St, Russellville, AR 72801-3517 and can be reached out via phone at 479-890-3402 and via fax at 479-890-3407.
Provider Profile Details
- NPI Number
- 1316971161
- Provider Name
- Kroger Limited Partnership I
- Provider Entity Type
- Organization
- Address
- 1003 W Main St, Russellville, AR 72801-3517
- Phone Number
- 479-890-3402
- Fax Number
- 479-890-3407
- 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
- April 28, 2025
- Certification Date
- April 28, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1003 W Main St
Russellville, AR 72801-3517 - City
- Russellville
- State
- Arkansas
- Zip
- 72801-3517
- Phone Number
- 479-890-3402
- Fax Number
- 479-890-3407
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)
- 20254
- License State (3)
- AR
- 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 Russellville, AR
View all Pharmacy, Community/Retail Pharmacy providers in Russellville →Frequently Asked Questions
What is the NPI number of Kroger Limited Partnership I?
The NPI number of Kroger Limited Partnership I is 1316971161. 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 AR under license number 20254.
Where does Kroger Limited Partnership I practice?
The practice location is 1003 W Main St, Russellville, AR 72801-3517. The office can be reached at 479-890-3402 (phone) or 479-890-3407 (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 1316971161 directly on the NPPES registry website.