Active NPIOrganization

Kroger Limited Partnership I

Pharmacy, Community/Retail Pharmacy in Jackson, Tennessee

NPI Number1669497384
Practice location
41 Stonebrook Pl, Jackson, TN 38305-3637
Fax
731-661-0914
Last updated
March 13, 2020

Kroger Limited Partnership I is a healthcare organization based in Jackson, TN. Kroger Limited Partnership I practices in Jackson, TN. The NPI Number for Kroger Limited Partnership I is 1669497384 and holds a License No. C2300 (TN). The current practice location address for Kroger Limited Partnership I is 41 Stonebrook Pl, Jackson, TN 38305-3637 and can be reached out via phone at 731-661-0912 and via fax at 731-661-0914.

Provider Profile Details

NPI Number
1669497384
Provider Name
Kroger Limited Partnership I
Provider Entity Type
Organization
Address
41 Stonebrook Pl, Jackson, TN 38305-3637
Phone Number
731-661-0912
Fax Number
731-661-0914
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
July 13, 2006
Last Update Date
March 13, 2020
Certification Date
March 13, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Stonebrook Pl
Jackson, TN 38305-3637
Zip
38305-3637
Phone Number
731-661-0912
Fax Number
731-661-0914
Jackson, TN 38305Get 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

Taxonomy (2)
Pharmacy · 333600000X
License Number (3)
C2300
License State (3)
TN
Taxonomy (3)
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 1669497384. It was assigned on July 13, 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 TN under license number C2300.

Where does Kroger Limited Partnership I practice?

The practice location is 41 Stonebrook Pl, Jackson, TN 38305-3637. The office can be reached at 731-661-0912 (phone) or 731-661-0914 (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 1669497384 directly on the NPPES registry website.

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