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KROGER LIMITED PARTNERSHIP I NPI 1396818910


NPI Information

NPI: 1396818910
Provider Name: KROGER LIMITED PARTNERSHIP I

Doing Business As: KROGER PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
324 E STATE BLVD
FORT WAYNE, IN
ZIP 46805
Phone: (260) 426-1731
Get Directions

KROGER LIMITED PARTNERSHIP I is a pharmacy in Fort Wayne, 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 1396818910. The provider is registered as an organization entity type.
The provider Is Doing Business As Kroger Pharmacy.

The provider's business location address is:

324 E STATE BLVD
FORT WAYNE, IN
ZIP 46805-224
Phone: (260) 426-1731
Fax: (260) 424-1672

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy60005171INDIANAYes
23336C0003XPharmacyCommunity/Retail PharmacyX
3332B00000XDurable Medical Equipment & Medical SuppliesX

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
11524784OTHEROTHER 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: 4/28/2024

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