KROGER LIMITED PARTNERSHIP I (NPI# 1366467060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366467060 |
| Entity Type | Organization |
| Organization Name | KROGER LIMITED PARTNERSHIP I |
| Other Organization Name | KROGER PHARMACY |
| Practice Address |
2012 Wards Rd Lynchburg VA 24502-5310 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 4342396641 |
| Practice Fax Number | 4342394025 |
| Mailing Telephone | 5137621019 |
| Mailing Fax Number | 5137621092 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2016-05-16 |
| Authorized Official Name | ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING) |
| Authorized Official Telephone | 5137621019 |
| Is Organization Subpart | N |
| 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 |
0201003250 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2106428 | 01 | |
| VA | 008513716 | 05 |
| Other Name | Type Code |
|---|---|
| KROGER PHARMACY | Doing Business As Name - Organization |
| 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 |
| 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 |
| Street Address |
2012 WARDS RD |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24502-5310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467923086 | Eun Young Park | Pharmacist | 2012 Wards Rd, Lynchburg, VA 24502-5310 | 2018-12-07 |
| 1558664441 | Daniel B Daugherty | Pharmacist | 2012 Wards Rd, Lynchburg, VA 24502-5310 | 2010-12-15 |
| 1659674901 | Larry Lewis | Pharmacist | 2012 Wards Rd, Lynchburg, VA 24502-5310 | 2010-12-08 |
| 1306148838 | Brett R. Barlow | Pharmacist | 2012 Wards Rd, Lynchburg, VA 24502-5310 | 2010-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
| 1669005468 | Beth Elaine Hammond | Nurse Practitioner | 132 Frederick Drive, Lynchburg, VA 24502 | 2020-02-20 |
| 1225672348 | Pearlren-aye Elizabeth Taylor | Case Management | 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 | 2019-10-31 |
| 1821553868 | Shavonne D Joyner | Behavioral Analyst | 18697 Forest Road, Lynchburg, VA 24502 | 2019-02-04 |
| 1043794415 | Robert Patrick Thomas | Private Vehicle | 44 Point Drive, Apt 30, Lynchburg, VA 24502 | 2018-09-20 |
| 1023503521 | Ptc Wellness Centers PC | Family Medicine | 2832 Candlers Mtn Rd, Lynchburg, VA 24502 | 2018-06-27 |
| 1548750722 | Raymond W Andrews IIi | Speech-Language Pathologist | 3101 Wards Ferry Road, Lynchburg, VA 24502 | 2018-05-14 |
| 1932697596 | Barbara J Frost | Nurse Practitioner | 906 Westview Dr, Lynchburg, VA 24502 | 2018-04-28 |
| 1619476983 | Benjamin Aaron Galley | Specialist/Technologist | 1971 University Blvd., Lynchburg, VA 24502 | 2018-02-01 |
| 1477076180 | Candice Cage | Home Health | 1002 Wexford Place, Lynchburg, VA 24502 | 2017-07-25 |
| Find all providers in zip 24502 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992343818 | Kratzer Pharmacy Inc. | Pharmacy | 263 N.main St, Lynchburg, OH 45142 | 2019-12-11 |
| 1831678622 | Hill City Pharmacy Inc | Pharmacy | 1602 Regents Parkway, Lynchburg, VA 24505 | 2018-08-13 |
| 1962745505 | Genoa Healthcare, LLC | Pharmacy | 2235 Landover Pl Ste A, Lynchburg, VA 24501-2193 | 2013-04-02 |
| 1063730133 | Wal-mart Stores East Lp | Pharmacy | 3227 Old Forest Rd, Lynchburg, VA 24501-2325 | 2010-05-13 |
| 1255434981 | Virginia Cvs Pharmacy LLC | Pharmacy | 2009 Wards Rd, Lynchburg, VA 24502-5309 | 2006-09-07 |
| 1437252160 | Virginia Cvs Pharmacy LLC | Pharmacy | 2223 Florida Ave, Lynchburg, VA 24501-4511 | 2006-09-07 |
| 1831292291 | Virginia Cvs Pharmacy L L C | Pharmacy | 21550 Timberlake Rd, Lynchburg, VA 24502-7234 | 2006-09-07 |
| 1093722043 | Walgreen Co | Pharmacy | 21400 Timberlake Rd, Lynchburg, VA 24502-7235 | 2006-08-02 |
| 1376558320 | Walgreen Co | Pharmacy | 2004 Wards Rd, Lynchburg, VA 24502-5310 | 2006-07-29 |
| 1477575157 | Virginia Cvs Pharmacy LLC | Pharmacy | 4028 Wards Rd, Lynchburg, VA 24502-2944 | 2006-07-24 |
| Find all providers in LYNCHBURG | ||||
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| 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.