Kroger Limited Partnership I
Pharmacy, Community/Retail Pharmacy in South Bend, Indiana
1396818811- Practice location
- 4526 W Western Ave, South Bend, IN 46619-2302
- Phone
- 574-239-2480
- Fax
- 574-239-2481
- Last updated
- May 16, 2016
Kroger Limited Partnership I is a healthcare organization based in South Bend, IN. Kroger Limited Partnership I practices in South Bend, IN. The NPI Number for Kroger Limited Partnership I is 1396818811 and holds a License No. 60005154 (IN). The current practice location address for Kroger Limited Partnership I is 4526 W Western Ave, South Bend, IN 46619-2302 and can be reached out via phone at 574-239-2480 and via fax at 574-239-2481.
Provider Profile Details
- NPI Number
- 1396818811
- Provider Name
- Kroger Limited Partnership I
- Provider Entity Type
- Organization
- Address
- 4526 W Western Ave, South Bend, IN 46619-2302
- Phone Number
- 574-239-2480
- Fax Number
- 574-239-2481
- 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
- November 15, 2006
- Last Update Date
- May 16, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4526 W Western Ave
South Bend, IN 46619-2302 - City
- South Bend
- State
- Indiana
- Zip
- 46619-2302
- Phone Number
- 574-239-2480
- Fax Number
- 574-239-2481
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)
- 60005154
- License State (3)
- IN
- 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 1396818811. It was assigned on November 15, 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 IN under license number 60005154.
Where does Kroger Limited Partnership I practice?
The practice location is 4526 W Western Ave, South Bend, IN 46619-2302. The office can be reached at 574-239-2480 (phone) or 574-239-2481 (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 1396818811 directly on the NPPES registry website.