Kroger Limited Partnership I
Pharmacy, Community/Retail Pharmacy in Kendallville, Indiana
1629464524- Practice location
- 310 W North St, Kendallville, IN 46755-1004
- Phone
- 260-347-9177
- Fax
- 260-347-9125
- Last updated
- April 22, 2025
Kroger Limited Partnership I is a healthcare organization based in Kendallville, IN. Kroger Limited Partnership I practices in Kendallville, IN. The NPI Number for Kroger Limited Partnership I is 1629464524 and holds a License No. 60006490A (IN). The current practice location address for Kroger Limited Partnership I is 310 W North St, Kendallville, IN 46755-1004 and can be reached out via phone at 260-347-9177 and via fax at 260-347-9125.
Provider Profile Details
- NPI Number
- 1629464524
- Provider Name
- Kroger Limited Partnership I
- Provider Entity Type
- Organization
- Address
- 310 W North St, Kendallville, IN 46755-1004
- Phone Number
- 260-347-9177
- Fax Number
- 260-347-9125
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Jessie Warman · Manager Rx Licensing · 513-762-1019
- Other Names
- Kroger Pharmacy #418 (Doing Business As)
- Provider Enumeration Date
- April 8, 2015
- Last Update Date
- April 22, 2025
- Certification Date
- April 22, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 310 W North St
Kendallville, IN 46755-1004 - City
- Kendallville
- State
- Indiana
- Zip
- 46755-1004
- Phone Number
- 260-347-9177
- Fax Number
- 260-347-9125
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
- License Number (2)
- 60006490A
- License State (2)
- IN
- Taxonomy (2)
- 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 Kendallville, IN
View all Pharmacy, Community/Retail Pharmacy providers in Kendallville →Frequently Asked Questions
What is the NPI number of Kroger Limited Partnership I?
The NPI number of Kroger Limited Partnership I is 1629464524. It was assigned on April 8, 2015 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 60006490A.
Where does Kroger Limited Partnership I practice?
The practice location is 310 W North St, Kendallville, IN 46755-1004. The office can be reached at 260-347-9177 (phone) or 260-347-9125 (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 1629464524 directly on the NPPES registry website.