KROGER LIMITED PARTNERSHIP I NPI 1194898619

NPI Information

NPI: 1194898619
Provider Name: KROGER LIMITED PARTNERSHIP I
Classification: Pharmacy - 333600000X
Entity Type: Organization
Doing Business As: KROGER PHARMACY DBA PAYLESS
Address: 2813 NICHOL AVE
ANDERSON, IN
ZIP 46011
Phone: (765) 649-9021

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NPI Details

KROGER LIMITED PARTNERSHIP I is a pharmacy in Anderson, IN. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. KROGER LIMITED PARTNERSHIP I NPI is 1194898619. The provider is registered as an organization entity type.
The provider Is Doing Business As Kroger Pharmacy Dba Payless.

The provider's business location address is:

2813 NICHOL AVE
ANDERSON, IN
ZIP 46011-141
Phone: (765) 649-9021
Fax: (765) 648-2344

The provider's authorized official is Matthew Feltman .
The authorized official title is Mgr Pharmacy Interface and has the following contact phone number (513) 762-1095.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	333600000X	Pharmacy		60005519	INDIANA	Yes
2	3336C0003X	Pharmacy	Community/Retail Pharmacy			X
3	332B00000X	Durable Medical Equipment & Medical Supplies				X

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1531676	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

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: 3/30/2025

NPI Synchronization or Removal

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