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KROGER LIMITED PARTNERSHIP I NPI 1376791962


NPI Information

NPI: 1376791962
Provider Name: KROGER LIMITED PARTNERSHIP I

Doing Business As: KROGER PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 25D1090846

Address:
107 HIGHWAY 80 E
CLINTON, MS
ZIP 39056
Phone: (601) 925-6343
Get Directions

KROGER LIMITED PARTNERSHIP I is a community/retail pharmacy pharmacy in Clinton, MS. 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 1376791962. The provider is registered as an organization entity type.
The provider Is Doing Business As Kroger Pharmacy.

The provider's business location address is:

107 HIGHWAY 80 E
CLINTON, MS
ZIP 39056-738
Phone: (601) 925-6343
Fax: (601) 925-6344

The provider's authorized official is Jessie Warman .
The authorized official title is Manager Of Pharmacy Licensing and has the following contact phone number (513) 762-1090.

The CLIA number assigned to this NPI record is 25D1090846 - industrial with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2008 and was last updated on 3/13/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail Pharmacy07866012MISSISSIPPIYes

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
12116903OTHERPK
203605090MEDICAIDMISSISSIPPI

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: 11/14/2023

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