Kroger Pharmacy #418
LBN: Kroger Limited Partnership I
Kroger Pharmacy #418 is an health care organization with primary practice located at 310 W North St , Kendallville IN 46755-1004. 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 (260) 347-9177, or through Warman, Jessie via phone (513) 762-1019.
Contact Information
Primary practice address
310 W North St
Kendallville IN 46755-1004
Phone: (260) 347-9177
Fax: (260) 343-0979
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 60006490A | Indiana |
Profile Details
| NPI number | 1629464524 |
|---|---|
| LBN Legal business name | Kroger Limited Partnership I |
| DBA Doing business as | Kroger Pharmacy #418 |
| Authorized official | Warman, Jessie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 8th, 2015 |
| Last updated | Nov 19th, 2018 - about 8 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 | 1629464524 | NPPES |
| Other | 2151268 | PK | |
| MEDICAID | 201328840A | PK |
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