KROGER LIMITED PARTNERSHIP I (NPI# 1538193313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538193313 |
Entity Type | Organization |
Organization Name | KROGER LIMITED PARTNERSHIP I |
Other Organization Name | KROGER PHARMACY |
Practice Address |
602 N Davis Ave Cleveland MS 38732-2356 |
Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
Practice Telephone | 6628430835 |
Practice Fax Number | 6628434216 |
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 |
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 |
1901012 | MS | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2044914 | 01 | |
MS | 00330544 | 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 |
Street Address |
602 N DAVIS AVE |
City | CLEVELAND |
State | MS |
Zip Code | 38732-2356 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497394423 | Russel Williamson | Pharmacist | 602 N Davis Ave, Cleveland, MS 38732-2356 | 2019-12-20 |
1578101135 | Ruth Avegail Ragadio Capapas | Pharmacist | 602 N Davis Ave, Cleveland, MS 38732-2356 | 2019-12-13 |
1487292124 | Eric Siuman Ho | Pharmacist | 602 N Davis Ave, Cleveland, MS 38732-2356 | 2019-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
Find all providers in zip 38732 |
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 |
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1073123576 | Prasanna LLC | Pharmacy | 200 E Boothe St Ste 103, Cleveland, TX 77327-4063 | 2020-08-09 |
1528686763 | Lorain Chemists Inc | Pharmacy | 3815 Lorain Ave, Cleveland, OH 44113-3710 | 2020-07-13 |
1841854270 | Mps Pharmacy LLC | Pharmacy | 112 S College Ave Ste 100, Cleveland, TX 77327-4502 | 2019-05-01 |
1598236861 | Noviembre LLC | Pharmacy | 200 E. Boothe Street, Suite 103, Cleveland, TX 77327 | 2018-12-16 |
1083108906 | University Hospitals Cleveland Medical Center | Pharmacy | 5805 Euclid Ave, Cleveland, OH 44103 | 2018-06-15 |
1548713175 | Najjar Rx Inc. | Pharmacy | 6630 Broadway Ave, Cleveland, OH 44105-1310 | 2016-08-01 |
1609246081 | Param Santosh LLC | Pharmacy | 3114 Clark Ave, Cleveland, OH 44109-1146 | 2015-09-29 |
1346674900 | Asia Plaza Pharmacy LLC | Pharmacy | 2999 Payne Ave Ste 130, Cleveland, OH 44114-4436 | 2013-08-30 |
1477806065 | Cooke Food Store Inc | Pharmacy | 2010 Broomfield Rd Se, Cleveland, TN 37323-3301 | 2012-10-19 |
1477832822 | The Centers for Families and Children Pharmacy # 2 | Pharmacy | 3929 Rocky River Dr Ste P-101, Cleveland, OH 44111-4153 | 2011-08-16 |
Find all providers in CLEVELAND |
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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.