Active NPIOrganization

Kroger Limited Partnership I

Pharmacy, Community/Retail Pharmacy in Fort Wayne, Indiana

NPI Number1689879074
Practice location
1125 W State Blvd, Fort Wayne, IN 46808-3185
Fax
260-424-3079
Last updated
May 16, 2016

Kroger Limited Partnership I is a healthcare organization based in Fort Wayne, IN. Kroger Limited Partnership I practices in Fort Wayne, IN. The NPI Number for Kroger Limited Partnership I is 1689879074 and holds a License No. 60006089A (IN). The current practice location address for Kroger Limited Partnership I is 1125 W State Blvd, Fort Wayne, IN 46808-3185 and can be reached out via phone at 260-426-4487 and via fax at 260-424-3079.

Provider Profile Details

NPI Number
1689879074
Provider Name
Kroger Limited Partnership I
Provider Entity Type
Organization
Address
1125 W State Blvd, Fort Wayne, IN 46808-3185
Phone Number
260-426-4487
Fax Number
260-424-3079
Primary Taxonomy
Pharmacy, Community/Retail Pharmacy · 3336C0003X
Organization Subpart
No
Authorized Official
Allison Muennich · Manager Of Pharmacy Licensing · 513-762-1019
Other Names
Scotts Pharmacy J412 (Doing Business As)
Provider Enumeration Date
June 18, 2007
Last Update Date
May 16, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1125 W State Blvd
Fort Wayne, IN 46808-3185
State
Indiana
Zip
46808-3185
Phone Number
260-426-4487
Fax Number
260-424-3079
Fort Wayne, IN 46808Get 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
60006089A
License State
IN
Taxonomy
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 1689879074. It was assigned on June 18, 2007 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 60006089A.

Where does Kroger Limited Partnership I practice?

The practice location is 1125 W State Blvd, Fort Wayne, IN 46808-3185. The office can be reached at 260-426-4487 (phone) or 260-424-3079 (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 1689879074 directly on the NPPES registry website.

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