Kroger Limited Partnership I
Pharmacy, Community/Retail Pharmacy in Southaven, Mississippi
1386678167- Practice location
- 3095 Goodman RD E, Southaven, MS 38672-8707
- Phone
- 662-536-3743
- Fax
- 662-536-3746
- Last updated
- April 22, 2025
Kroger Limited Partnership I is a healthcare organization based in Southaven, MS. Kroger Limited Partnership I practices in Southaven, MS. The NPI Number for Kroger Limited Partnership I is 1386678167 and holds a License No. 6159 (MS). The current practice location address for Kroger Limited Partnership I is 3095 Goodman RD E, Southaven, MS 38672-8707 and can be reached out via phone at 662-536-3743 and via fax at 662-536-3746.
Provider Profile Details
- NPI Number
- 1386678167
- Provider Name
- Kroger Limited Partnership I
- Provider Entity Type
- Organization
- Address
- 3095 Goodman RD E, Southaven, MS 38672-8707
- Phone Number
- 662-536-3743
- Fax Number
- 662-536-3746
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Jessie Warman · Manager Of Pharmacy · 513-762-1090
- Other Names
- Kroger Pharmacy (Doing Business As)
- Provider Enumeration Date
- July 10, 2006
- Last Update Date
- April 22, 2025
- Certification Date
- April 22, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3095 Goodman RD E
Southaven, MS 38672-8707 - City
- Southaven
- State
- Mississippi
- Zip
- 38672-8707
- Phone Number
- 662-536-3743
- Fax Number
- 662-536-3746
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)
- 6159
- License State (3)
- MS
- 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 Southaven, MS
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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 1386678167. 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 MS under license number 6159.
Where does Kroger Limited Partnership I practice?
The practice location is 3095 Goodman RD E, Southaven, MS 38672-8707. The office can be reached at 662-536-3743 (phone) or 662-536-3746 (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 1386678167 directly on the NPPES registry website.