KROGER LIMITED PARTNERSHIP I (NPI# 1063446854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063446854 |
| Entity Type | Organization |
| Organization Name | KROGER LIMITED PARTNERSHIP I |
| Other Organization Name | KROGER PHARMACY |
| Practice Address |
3265 Smoot Avenue Madison WV 25130 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 3043699074 |
| Practice Fax Number | 3043699087 |
| Mailing Telephone | 5137621019 |
| Mailing Fax Number | 5137621092 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2016-09-15 |
| Authorized Official Name | ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING) |
| Authorized Official Telephone | 5137621019 |
| 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 |
552286 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0013178034 | 05 | |
| OH | 3082613 | 05 | |
| PK | 2111327 | 01 |
| Other Name | Type Code |
|---|---|
| KROGER PHARMACY | 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 |
| Indiana Business Entities | KROGER LIMITED PARTNERSHIP I | 1014 Vine St, Cincinnati, OH 45202 |
| Oklahoma Business Registrations | KROGER LIMITED PARTNERSHIP II | 1014 Vine St, Cincinnati, OH 45202 |
| Indiana Business Entities | KROGER LIMITED PARTNERSHIP II | 1014 Vine St, Cincinnati, OH 45202 |
| Street Address |
3265 SMOOT AVENUE |
| City | MADISON |
| State | WV |
| Zip Code | 25130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960957 | Sadie Vance | Technician | 1 Ave C, Madison, WV 25130 | 2020-07-30 |
| 1255940516 | Katie Adkins | Technician | 109 Ave C, Madison, WV 25130 | 2020-07-23 |
| 1386981488 | Integrated Health Care Providers, Inc. | Urology | 707 Madison Avenue, Madison, WV 25130 | 2013-01-09 |
| 1386710028 | Lisa Gaye Dolan | Registered Nurse | 69 Avenue B, Boone County of Educations, Madison, WV 25130 | 2006-11-27 |
| 1679671549 | Atkins Dds Inc | Dentist | 221 State Street, Suite 102, Madison, WV 25130 | 2006-09-21 |
| 1558318832 | Sriramloo Kesari | General Practice | 173 State St, Madison, WV 25130 | 2006-05-30 |
| 1689628489 | Kathy Jo Hill | Nurse Practitioner | 701 Madison Avenue, Boone Memorial Hospital, Madison, WV 25130 | 2006-05-19 |
| 1578513032 | Boone Memorial Hospital Inc | Clinic/Center | 697 Madison Avenue, Madison, WV 25130 | 2006-05-12 |
| 1770979874 | Michael Vaughn Baxter Bledsoe | Family Medicine | 701 Madison Ave, Madison, WV 25130 | 2015-04-15 |
| 1770597171 | Ronald D Chattin | Family Medicine | 515 Main St, Madison, WV 25130 | 2006-07-28 |
| Find all providers in zip 25130 | ||||
| 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 |
|---|---|---|---|---|
| 1487219192 | Morgan County, Georgia Hospital Authority | Pharmacy | 1740 Lions Club Road, Madison, GA 30650 | 2019-05-08 |
| 1194227694 | Dean Retail Services, Inc. | Pharmacy | 752 N High Point Rd Ste L701, Madison, WI 53717-2236 | 2018-03-01 |
| 1578955381 | Uptown Pharmacy | Pharmacy | 1042 Gluckstadt Rd, Suite D, Madison, MS 39110-6981 | 2015-03-03 |
| 1346651296 | Roundys Supermarkets Inc | Pharmacy | 6010 Cottage Grove Rd, Madison, WI 53718-1300 | 2014-05-14 |
| 1831536648 | Keystone Pharmacy, LLC | Pharmacy | 118 Weisenberger Road, Sutie #400, Madison, MS 39110 | 2013-06-03 |
| 1376885152 | Hy Vee Inc | Pharmacy | 675 S Whitney Way, Madison, WI 53711-1034 | 2013-03-20 |
| 1982943924 | District Council of Madison Inc | Pharmacy | 2033 Fish Hatchery Rd, Madison, WI 53725-9686 | 2013-02-12 |
| 1801028030 | Hy Vee Inc | Pharmacy | 3801 E Washington Ave, Madison, WI 53704-3648 | 2009-08-21 |
| 1780875955 | Walgreen Co | Pharmacy | 129 Clifty Dr, Madison, IN 47250-1601 | 2007-08-05 |
| 1225238926 | Roundys Supermarkets Inc | Pharmacy | 3650 University Ave, Madison, WI 53705-2143 | 2007-07-20 |
| Find all providers in MADISON | ||||
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| 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.