KROGER LIMITED PARTNERSHIP I NPI 1972764355

NPI Information

  • NPI: 1972764355
  • Provider Name: KROGER LIMITED PARTNERSHIP I
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Address: 180 RED OAKS SC
    RONCEVERTE, WV
    ZIP 24970
  • Phone: (304) 645-0310

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NPI Details

KROGER LIMITED PARTNERSHIP I is a community/retail pharmacy pharmacy in Ronceverte, WV. 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 1972764355. The provider is registered as an organization entity type.

The provider's business location address is:

180 RED OAKS SC
RONCEVERTE, WV
ZIP 24970
Phone: (304) 645-0310
Fax: (304) 645-0312

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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Admn sarscov2 vacc 1 dose (HCPCS:90480)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Sarscv2 vac 30mcg trs-suc im (HCPCS:91320)
  • Sarscov2 vac 50 mcg/0.5ml im (HCPCS:91322)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 6/19/2008 and was last updated on 4/20/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyMP0552364WEST VIRGINIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13810012364MEDICAIDWEST VIRGINIA
22111740OTHERPK

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: 11/21/2025

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