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KROGER LIMITED PARTNERSHIP I NPI 1205068541


NPI Information

NPI: 1205068541
Provider Name: KROGER LIMITED PARTNERSHIP I

Doing Business As: KROGER PHARMACY J-998

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 15D2005780

Address:
1365 E 86TH ST
INDIANAPOLIS, IN
ZIP 46240
Phone: (317) 217-1190
Get Directions

KROGER LIMITED PARTNERSHIP I is a pharmacy in Indianapolis, 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 1205068541. The provider is registered as an organization entity type.
The provider Is Doing Business As Kroger Pharmacy J-998.

The provider's business location address is:

1365 E 86TH ST
INDIANAPOLIS, IN
ZIP 46240-909
Phone: (317) 217-1190

The provider's authorized official is Allison Muennich .
The authorized official title is Manager Of Pharmacy Licensing and has the following contact phone number (513) 762-1019.

The CLIA number assigned to this NPI record is 15D2005780 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2009 and was last updated on 5/16/2016.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacy60006212AINDIANAYes

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
12123121OTHERPK
2200969790AMEDICAIDINDIANA
31193770710MEDICARE NSC
4256660MEDICARE PIN

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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