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KROGER LIMITED PARTNERSHIP I NPI 1518982214


NPI Information

NPI: 1518982214
Provider Name: KROGER LIMITED PARTNERSHIP I

Doing Business As: KROGER PHARMACY

Classification: Pharmacy - 3336I0012X
Entity Type: Organization

Specialization: Institutional Pharmacy

CLIA Number: 18D2000989

Address:
350 E SIX FORKS RD
RALEIGH, NC
ZIP 27609
Phone: (919) 835-9593
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KROGER LIMITED PARTNERSHIP I is an institutional pharmacy pharmacy in Raleigh, NC. The provider is a pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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 1518982214. The provider is registered as an organization entity type.
The provider Is Doing Business As Kroger Pharmacy.

The provider's business location address is:

350 E SIX FORKS RD
RALEIGH, NC
ZIP 27609-879
Phone: (919) 835-9593
Fax: (919) 835-9837

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 CLIA number assigned to this NPI record is 18D2000989 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2006 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
23336L0003XPharmacyLong Term Care PharmacyNo
33336I0012XPharmacyInstitutional Pharmacy7489NORTH CAROLINAYes

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
10920118MEDICAIDNORTH CAROLINA
23437337OTHERNCPDP PROVIDER IDENTIFICATION 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: 11/14/2023

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