Kroger Pharmacy #423

LBN: Kroger Limited Partnership I
Kroger Pharmacy #423 is an health care organization with primary practice located at 130 Pavilion Pkwy , Newport KY 41071-2998. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kroger Limited Partnership I can be contacted via phone (859) 292-5680, or through Warman, Jessie via phone (513) 762-1090.

Contact Information

Primary practice address
130 Pavilion Pkwy Newport KY 41071-2998
Phone: (859) 292-5680
Fax: (859) 292-5681
Website:
Map and Directions
Authorized official contact:
Name: Warman, Jessie
Phone: (513) 762-1090

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PO7355 Kentucky

Profile Details

NPI number 1295064731
LBN Legal business name Kroger Limited Partnership I
DBA Doing business as Kroger Pharmacy #423
Authorized official Warman, Jessie
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2009
Last updated Feb 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295064731 NPPES
Kentucky MEDICAID 7100113090
Kentucky MEDICAID 0068880
Kentucky Other 2122877

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