Active NPIOrganization

Kroger Limited Partnership I

Pharmacy, Community/Retail Pharmacy in Clinton, Mississippi

NPI Number1376791962
Practice location
107 Highway 80 E, Clinton, MS 39056-4738
Fax
601-925-6344
Last updated
March 13, 2020

Kroger Limited Partnership I is a healthcare organization based in Clinton, MS. Kroger Limited Partnership I practices in Clinton, MS. The NPI Number for Kroger Limited Partnership I is 1376791962 and holds a License No. 07866012 (MS). The current practice location address for Kroger Limited Partnership I is 107 Highway 80 E, Clinton, MS 39056-4738 and can be reached out via phone at 601-925-6343 and via fax at 601-925-6344.

Provider Profile Details

NPI Number
1376791962
Provider Name
Kroger Limited Partnership I
Provider Entity Type
Organization
Address
107 Highway 80 E, Clinton, MS 39056-4738
Phone Number
601-925-6343
Fax Number
601-925-6344
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
September 8, 2008
Last Update Date
March 13, 2020
Certification Date
March 13, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
107 Highway 80 E
Clinton, MS 39056-4738
Zip
39056-4738
Phone Number
601-925-6343
Fax Number
601-925-6344
Clinton, MS 39056Get 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

License Number (2)
07866012
License State (2)
MS
Taxonomy (2)
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 1376791962. It was assigned on September 8, 2008 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 07866012.

Where does Kroger Limited Partnership I practice?

The practice location is 107 Highway 80 E, Clinton, MS 39056-4738. The office can be reached at 601-925-6343 (phone) or 601-925-6344 (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 1376791962 directly on the NPPES registry website.

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