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KROGER LIMITED PARTNERSHIP I NPI 1497828016


NPI Information

NPI: 1497828016
Provider Name: KROGER LIMITED PARTNERSHIP I

Doing Business As: KROGER PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
5615 W 38TH ST
INDIANAPOLIS, IN
ZIP 46254
Phone: (317) 299-6783
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KROGER LIMITED PARTNERSHIP I is a community/retail pharmacy pharmacy in Indianapolis, IN. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. KROGER LIMITED PARTNERSHIP I NPI is 1497828016. The provider is registered as an organization entity type.
The provider Is Doing Business As Kroger Pharmacy.

The provider's business location address is:

5615 W 38TH ST
INDIANAPOLIS, IN
ZIP 46254-921
Phone: (317) 299-6783
Fax: (317) 290-6404

The provider's authorized official is Matt Mineer .
The authorized official title is Interface Manager and has the following contact phone number (513) 387-7074.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 6/24/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy60005167INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1256660MEDICARE PIN
2P00637372MEDICARE PIN
3100296920AMEDICAIDINDIANA
41520750OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
51193770001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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