KROGER LIMITED PARTNERSHIP I (NPI# 1700810546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700810546 |
| Entity Type | Organization |
| Organization Name | KROGER LIMITED PARTNERSHIP I |
| Other Organization Name | KROGER PHARMACY #475 |
| Practice Address |
1700 Declaration Dr Independence KY 41051-8441 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 8593639020 |
| Practice Fax Number | 8593639107 |
| Mailing Telephone | 5137621019 |
| Mailing Fax Number | 5137621092 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | JESSIE WARMAN (MANAGER 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 |
P06390 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 54033907 | 05 | |
| PK | 2032994 | 01 |
| Other Name | Type Code |
|---|---|
| KROGER PHARMACY #475 | 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 |
1700 DECLARATION DR |
| City | INDEPENDENCE |
| State | KY |
| Zip Code | 41051-8441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255955118 | Ashley Marie Estepp | Pharmacist | 1700 Declaration Dr, Independence, KY 41051-8441 | 2020-06-05 |
| 1992358774 | Jennifer Marie Taylor | Nurse Practitioner | 1700 Declaration Dr, Independence, KY 41051-8441 | 2019-07-19 |
| 1538637731 | Andrea Brunacini | Nurse Practitioner | 1700 Declaration Dr, Independence, KY 41051-8441 | 2018-11-06 |
| 1508225681 | Kathleen Dietrich | Pharmacist | 1700 Declaration Dr, Independence, KY 41051-8441 | 2016-02-17 |
| 1295193837 | Brian Wesselman | Pharmacist | 1700 Declaration Dr, Independence, KY 41051-8441 | 2016-02-09 |
| 1477910974 | Heidi Hayes | Pharmacist | 1700 Declaration Dr, Independence, KY 41051-8441 | 2016-01-28 |
| 1205293172 | Kristen Bell | Pharmacist | 1700 Declaration Dr, Independence, KY 41051-8441 | 2016-01-24 |
| 1427442722 | Michelle Flynn | Pharmacist | 1700 Declaration Dr, Independence, KY 41051-8441 | 2015-03-25 |
| 1578956884 | Kiosk Medicine of Kentucky LLC | Nurse Practitioner | 1700 Declaration Dr, Independence, KY 41051 | 2015-03-11 |
| 1548541659 | Jason Mayes | Pharmacist | 1700 Declaration Dr, Independence, KY 41051-7931 | 2011-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738741 | Tina Hacker | Counselor | Crossroads Treatment Centers, 1974 Walton Nicholson Rd, Independence, KY 41051 | 2020-10-26 |
| 1942844972 | Shelby Cuellar | Chiropractor | 2051 Centennial Boulevard, Independence, KY 41051 | 2019-11-02 |
| 1811246242 | Independence Chiropractic, Inc. | Chiropractor | 1922 Walton Nichoolson Road, Independence, KY 41051 | 2012-08-30 |
| 1356627269 | Nina Carmen Brock | Home Health | 593 Berlander Dr, Independence, KY 41051 | 2011-10-25 |
| 1508000951 | Independence Urgent Care LLC | Clinic/Center | 2025 Declaration Drive, Independence, KY 41051 | 2009-04-29 |
| 1710009436 | Ashley Joseph Moser | Dentist | 2047 Centennial Blvd, Independence, KY 41051 | 2007-04-04 |
| 1558497388 | Occupational Health Centers of The Southwest, P.a., P.s.c. | Clinic/Center | 10110 Toebben Drive, Enterprise V Park, Independence, KY 41051 | 2007-02-26 |
| 1982758736 | Janice Ann Struckhoff | Dentist | 1986 Walton Nicholson Pike, Independence, KY 41051 | 2007-01-22 |
| 1265509061 | Regency Manor LLC | Assisted Living Facility | 11725 Madison Pike, Independence, KY 41051 | 2006-11-29 |
| 1588629463 | John Franklin Allnutt | Family Medicine | 5290 Madison Pike, Ste 100, Independence, KY 41051 | 2006-04-20 |
| Find all providers in zip 41051 | ||||
| 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 |
|---|---|---|---|---|
| 1750567624 | Lowe Drug Company | Pharmacy | 19950 East 39th Street South, Suite 120, Independence, MO 64057 | 2008-01-10 |
| 1700077831 | Walgreen Co. | Pharmacy | 2005 Centennial Blvd, Independence, KY 41051-7041 | 2007-08-05 |
| 1124176888 | Cherokee Drug Shoppe | Pharmacy | 6439 Taylor Mill Rd, Independence, KY 41051-9343 | 2007-01-08 |
| 1912070525 | Nies Pharmacy Inc | Pharmacy | 11745 Madison Pike, Independence, KY 41051-8637 | 2006-11-15 |
| 1588754725 | 50-plus Pharmacy Inc. | Pharmacy | 211 W Lexington Ave, Independence, MO 64050-3709 | 2006-10-16 |
| 1114027554 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 1545 E 23rd St S, Independence, MO 64055-1670 | 2006-09-25 |
| 1942309257 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 11115 E Us Highway 24, Independence, MO 64054-1567 | 2006-09-22 |
| 1699872267 | Hartig Drug Co Corp | Pharmacy | 200 1st St E, Independence, IA 50644-2813 | 2006-09-17 |
| 1821191651 | Ohio Cvs Stores LLC | Pharmacy | 6527 Brecksville Rd, Independence, OH 44131-4897 | 2006-09-07 |
| 1912017534 | Costco Wholesale Corporation | Pharmacy | 19040 E Valley View Pkwy, Independence, MO 64055 | 2006-08-30 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 41051 |
Please comment or provide details below to improve the information on KROGER LIMITED PARTNERSHIP I.
| 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.