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KROGER LIMITED PARTNERSHIP I NPI 1871739771


NPI Information

NPI: 1871739771
Provider Name: KROGER LIMITED PARTNERSHIP I

Doing Business As: KROGER PHARMACY#21-804

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 15D2014133

Address:
5810 E 71ST ST
INDIANAPOLIS, IN
ZIP 46220
Phone: (317) 813-1903
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 1871739771. The provider is registered as an organization entity type.
The provider Is Doing Business As Kroger Pharmacy#21-804.

The provider's business location address is:

5810 E 71ST ST
INDIANAPOLIS, IN
ZIP 46220-002
Phone: (317) 813-1903
Fax: (317) 813-1904

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 15D2014133 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/23/2008 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
2333600000XPharmacy60006187AINDIANAYes

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
1200953090AMEDICAIDINDIANA
21193770703MEDICARE NSC
3256660MEDICARE PIN
42118298OTHERPK

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.