Kroger Pharmacy
LBN: Kroger Limited Partnership I
Kroger Pharmacy is an health care organization with primary practice located at 3408 Pemberton Square Blvd , Vicksburg MS 39180-5573. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Kroger Limited Partnership I can be contacted via phone (601) 630-4003, or through Warman, Jessie via phone (513) 762-1090.
Contact Information
Primary practice address
3408 Pemberton Square Blvd
Vicksburg MS 39180-5573
Phone: (601) 630-4003
Fax: (601) 630-4004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 07832 | Mississippi |
Profile Details
| NPI number | 1164670063 |
|---|---|
| LBN Legal business name | Kroger Limited Partnership I |
| DBA Doing business as | Kroger Pharmacy |
| Authorized official | Warman, Jessie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 4th, 2008 |
| Last updated | Mar 13th, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164670063 | NPPES |
| Other | 2116834 | PK | |
| MEDICAID | 04875396 | PK |
Popular Providers
-
Battlefield Express Drugs Incorporated
2080 S Frontage Rd Suite 101, Vicksburg MS 39180-5328 -
Battlefield Clinic Drugs
2080 S Frontage Rd Ste N, Vicksburg MS 39180-5328 -
Amt Group Llc
1670 Highway 61 N , Vicksburg MS 39183-3411 -
Mississippi Cvs Pharmacy Llc
1435 N. Frontage Rd , Vicksburg MS 39180-5170 -
Walgreen Co
2310 Clay St , Vicksburg MS 39183 -
Vicksburg Special Care Pharmacy And Compounding Llc
4079 Pemberton Square Blvd , Vicksburg MS 39180-5580 -
Kroger Limited Partnership I
3405 Pemberton Square Blvd , Vicksburg MS 39180-5574 -
Walgreen Co
3046 Indiana Ave , Vicksburg MS 39180-5252