KROGER LIMITED PARTNERSHIP I


Address: 4910 I 55 N, Jackson, MS 39211-5401
Phone: 6013666554

KROGER LIMITED PARTNERSHIP I (NPI# 1295769073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295769073
Entity Type Organization
Organization Name KROGER LIMITED PARTNERSHIP I
Other Organization Name KROGER PHARMACY
Practice Address 4910 I 55 N
Jackson
MS 39211-5401
Mailing Address Po Box 842772
Boston
MA 02284-2772
Practice Telephone 6013666554
Practice Fax Number 6013667673
Mailing Telephone 5137621019
Mailing Fax Number 5137621092
Enumeration Date 2006-07-10
Last Update Date 2020-03-13
Authorized Official Name JESSIE WARMAN (MANAGER OF PHARMACY LICENSING)
Authorized Official Telephone 5137621090
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
3093012 MS Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MS 00330205 05
PK 2045474 01

Other Provider/Organization Names

Other Name Type Code
KROGER PHARMACY Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1649776477 Kroger Limited Partnership I Durable Medical Equipment & Medical Supplies 1050 W Mercury Blvd, Hampton, VA 23666-3307 2018-04-02
1629574488 Kroger Limited Partnership I Durable Medical Equipment & Medical Supplies 7254 Hayes Shopping Court, Hayes, VA 23072 2018-04-02
1215433271 Kroger Limited Partnership I Durable Medical Equipment & Medical Supplies 1282 Smithfield Plz, Smithfield, VA 23430-6054 2018-03-30
1003312034 Kroger Limited Partnership I Durable Medical Equipment & Medical Supplies 309 S Battlefield Blvd, Chesapeake, VA 23320 2018-03-30
1437655461 Kroger Limited Partnership I Durable Medical Equipment & Medical Supplies 6500 George Washington Mem Hwy Ste C, Grafton, VA 23692 2018-03-30
1740780550 Kroger Limited Partnership I Durable Medical Equipment & Medical Supplies 10679 N Michigan Rd, Zionsville, IN 46077-9261 2018-02-19
1700386521 Kroger Limited Partnership I Durable Medical Equipment & Medical Supplies 715 S Tillotson Ave, Muncie, IN 47304-4526 2018-02-19
1649784174 Kroger Limited Partnership I Pharmacy 5 Boone Vlg, Zionsville, IN 46077-1231 2017-11-20
1255845871 Kroger Limited Partnership I Durable Medical Equipment & Medical Supplies 1500 W Mcgalliard Rd, Muncie, IN 47304-2203 2017-11-17
1649783432 Kroger Limited Partnership I Durable Medical Equipment & Medical Supplies 227 W Michigan St, Indianapolis, IN 46204-1242 2017-11-15

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities Kroger Limited Partnership I 1014 Vine Street, Cincinnati, Ohio 45202
North Carolina Corporations Kroger Limited Partnership I 2626 Glenwood Avenue, Suite 550, Raleigh, NC 27608
Indiana Business Entities KROGER LIMITED PARTNERSHIP I 1014 Vine St, Cincinnati, OH 45202
Oklahoma Business Registrations KROGER LIMITED PARTNERSHIP II 1014 Vine St, Cincinnati, OH 45202
Indiana Business Entities KROGER LIMITED PARTNERSHIP II 1014 Vine St, Cincinnati, OH 45202

Office Location

Street Address 4910 I 55 N
City JACKSON
State MS
Zip Code 39211-5401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033729918 Ashley Michelle Williams Pharmacist 4910 I 55 N, Jackson, MS 39211-5401 2020-08-05
1932747342 Blake Williams Pharmacist 4910 I 55 N, Jackson, MS 39211-5401 2019-12-16
1215121553 Beth Ann Wattigny Pharmacist 4910 I 55 N, Kroger Pharmacy #345, Jackson, MS 39211-5401 2007-08-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760092878 Bio-medical Applications of Mississippi, Inc. Clinic/Center 5722 I-55 N Frontage Road, Jackson, MS 39211 2020-08-04
1548881048 Gloria Dansby-giles Counselor 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 2020-05-06
1821628223 Alice Powell Taylor St. Dominic Weight Loss Solutions, 3800 Interstate 55 North Frontage Road Suite 102, Jackson, MS 39211 2020-01-24
1356980643 Bethany Powers Pharmacist 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 2020-01-03
1316585581 Deborah Magoun Rosenbaum Pharmacist [email protected], 4910 I-55 North, Jackson, MS 39211 2019-12-18
1285108357 Eric Wood Counselor 4623 Maurey Rd, Jackson, MS 39211 2019-01-11
1649758301 Isluv Robertson Registered Nurse 1405 E Northside Dr, Jackson, MS 39211 2018-08-03
1659863066 Jonbrighton Childs Russell Student in an Organized Health Care Education/Training Program 4343 Dalrymple Ct, Jackson, MS 39211 2018-05-31
1225557598 Regina Ann Day Dietitian, Registered 3800 I 55 North Frontage Road, Jackson, MS 39211 2017-09-18
1023558525 Agilitas Usa Inc Clinic/Center 120 District Blvd E, Suite D102, Jackson, MS 39211 2017-03-02
Find all providers in zip 39211

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144874868 Whitney Harris Drugs, Inc. Pharmacy 1200 Eastover Dr Ste 175, Jackson, MS 39211-6317 2019-07-31
1013576826 Avita Drugs Mississippi, LLC Pharmacy 805 E River Pl Ste A, Jackson, MS 39202-3486 2019-06-06
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
1952823783 Teton County Hospital District Pharmacy 555 E Broadway Ave Ste 212, Jackson, WY 83001-8640 2017-07-13
1477955037 Jackson Village Pharmacy LLC Pharmacy 27 South Cooks Bridge Rd, Suite M1, Jackson, NJ 08527 2014-09-25
1215341623 Rite Aid Pharmacy 702 Bennett Mills Road, Jackson, NJ 08527 2014-06-13
1134251812 Main Midtown Inc Pharmacy 346 E Fortification St, Jackson, MS 39202-2325 2007-03-09
1003943176 Ljc,inc Dba Stone Drug Pharmacy 830 West Broadway, Box 9000, Jackson, WY 83001 2007-02-27
1003968322 Carel Pharmacy Pharmacy 2010 W County Line Rd, Jackson, NJ 08527-2001 2007-01-17
1316095573 Gold Kimball International, Inc. Pharmacy 2080 W County Line Rd, Jackson, NJ 08527-2015 2007-01-06
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39211

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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