Kroger Pharmacy

LBN: Kroger Limited Partnership I
Kroger Pharmacy is an health care organization with primary practice located at 2029 Lynnhaven Pkwy , Virginia Beach VA 23456-1474. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, 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 (757) 471-0863, or through Mineer, Matt via phone (513) 387-7074.

Contact Information

Primary practice address
2029 Lynnhaven Pkwy Virginia Beach VA 23456-1474
Phone: (757) 471-0863
Fax: (757) 471-5892
Website:
Map and Directions
Authorized official contact:
Name: Mineer, Matt
Phone: (513) 387-7074

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0201003387 Virginia

Profile Details

NPI number 1770517542
LBN Legal business name Kroger Limited Partnership I
DBA Doing business as Kroger Pharmacy
Authorized official Mineer, Matt
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Jun 24th, 2009 - about 17 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 1770517542 NPPES
Other 4835647 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 008509751 NCPDP PROVIDER IDENTIFICATION NUMBER

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