KROGER LIMITED PARTNERSHIP I (NPI# 1447323969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447323969 |
| Entity Type | Organization |
| Organization Name | KROGER LIMITED PARTNERSHIP I |
| Other Organization Name | KROGER PHARMACY |
| Practice Address |
2040 Peace Tree Vlg Rochester IN 46975-2630 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 5742236347 |
| Practice Fax Number | 5742236618 |
| Mailing Telephone | 5137621019 |
| Mailing Fax Number | 5137621092 |
| Enumeration Date | 2006-11-15 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
60005597 | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200333500A | 05 | |
| PK | 2024440 | 01 |
| 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 |
| Oklahoma Business Registrations | KROGER LIMITED PARTNERSHIP II | 1014 Vine St, Cincinnati, OH 45202 |
| Street Address |
2040 PEACE TREE VLG |
| City | ROCHESTER |
| State | IN |
| Zip Code | 46975-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265078083 | Gary R Hudson | Pharmacist | 2040 Peace Tree Vlg, Rochester, IN 46975-2630 | 2019-11-27 |
| 1881230662 | Tracy R Benavides | Pharmacist | 2040 Peace Tree Vlg, Rochester, IN 46975-2630 | 2019-11-26 |
| 1801432273 | Sarah Roberts | Pharmacist | 2040 Peace Tree Vlg, Rochester, IN 46975-2630 | 2019-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255789038 | Caitlin Barts-nunez | Dentist | 1360 E. 4th Street, Rochester, IN 46975 | 2016-06-02 |
| 1093117061 | Brittainey Neese | Pharmacist | 2240 E. Peace Tree Village, Rochester, IN 46975 | 2014-09-22 |
| 1437415460 | Benjamin O Adebayo | Obstetrics & Gynecology | 1400 East 9th S, Rochester, IN 46975 | 2012-04-04 |
| 1679779367 | Hope Hospice, Inc. | Home Health | 2316 E State Rd 14, Rochester, IN 46975 | 2007-06-21 |
| 1356405526 | Woodlawn Hospital | Durable Medical Equipment & Medical Supplies | 2310 E State Road 14, Rochester, IN 46975 | 2006-12-21 |
| 1134297930 | Timothy Ravencroft | Dentist | 115 E 7th Street, Rochester, IN 46975 | 2006-12-01 |
| 1720172349 | Patricia J Heiden | Social Worker | 618 E. Ninth St., Rochester, IN 46975 | 2006-10-03 |
| 1760583355 | Julius Salazar Sitjar | Internal Medicine | 2671 Ft Wayne Rd, Rochester, IN 46975 | 2006-09-26 |
| 1922016260 | Hubert Ray Hazen | Dentist | 1329 Main Street, Rochester, IN 46975 | 2006-08-03 |
| 1366401812 | Cynthia A Laycock | Optometrist | 2260 Main St., Rochester, IN 46975 | 2006-03-22 |
| Find all providers in zip 46975 | ||||
| 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] |
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| 1275057572 | Walgreen Co | Pharmacy | 3122 Monroe Ave, Rochester, NY 14618-4606 | 2017-07-28 |
| 1821468299 | Hy Vee Inc | Pharmacy | 4221 W Circle Drive Nw, Rochester, MN 55901-8878 | 2015-09-29 |
| 1659765386 | Costco Wholesale Corporation | Pharmacy | 335 Westfall Rd, Rochester, NY 14620 | 2015-03-19 |
| 1275922072 | Trillium Health, Inc. | Pharmacy | 170 Science Pkwy, Rochester, NY 14620-4251 | 2015-01-16 |
| 1891109179 | New Clinton Pharmacy LLC | Pharmacy | 360 Saint Paul St, Rochester, NY 14605-1745 | 2014-06-16 |
| 1336586668 | University of Rochester | Pharmacy | 601 Elmwood Ave Rm 2-5425, Rochester, NY 14642-0001 | 2013-05-28 |
| Find all providers in ROCHESTER | ||||
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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.