KROGER LIMITED PARTNERSHIP I


Address: 601 S Main St Ste 106, Salem, IN 47167-1057
Phone: 8122675511

KROGER LIMITED PARTNERSHIP I (NPI# 1649791708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649791708
Entity Type Organization
Organization Name KROGER LIMITED PARTNERSHIP I
Other Organization Name JAY C PHARMACY #086
Practice Address 601 S Main St Ste 106
Salem
IN 47167-1057
Mailing Address Po Box 842772
Boston
MA 02284-2772
Practice Telephone 8122675511
Enumeration Date 2017-06-29
Last Update Date 2017-06-29
Authorized Official Name ALLISON BREDESTEGE (MANAGER OF PHARMACY LICENSING)
Authorized Official Telephone 5137621019
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers

Other Provider/Organization Names

Other Name Type Code
Jay C Pharmacy #086 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 601 S MAIN ST STE 106
City SALEM
State IN
Zip Code 47167-1057

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679951792 Forefront Dermatology, S.c. Dermatology 911 N Shelby Street, St. Vincent Salem Hospital, Specialty Clinic, Salem, IN 47167 2015-05-08
1407188162 Sheila Belamour Physical Therapy Assistant 900 Anson Street, Salem, IN 47167 2010-02-05
1598988834 Blue River Services, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 118 N. Nichols Ave., Salem, IN 47167 2007-04-11
1740303973 Blue River Services, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 75 E. Oak Dr, Salem, IN 47167 2007-04-10
1689709594 Renal Treatment Centers Illinois Inc Clinic/Center 1201 N Jim Day Road, Ste 103, Salem, IN 47167 2007-02-22
1780738161 Martin F Kennedy Dds PC Dentist 1600 S State Rd 135, Salem, IN 47167 2007-01-22
1114079449 Gene F Hedrick Dds PC Dentist 100 North Harrison Street, Salem, IN 47167 2007-01-17
1689626038 Kristen Ingram Family Medicine 1002 N Shelby St Ste 1004, Salem, IN 47167 2006-05-16
1952825564 Walgreen Co Durable Medical Equipment & Medical Supplies 803 S Main St, Salem, IN 47167 2017-07-26
1558770370 Ashlee Austin Occupational Therapist 900 Anson St, Salem, IN 47167 2014-08-06
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477027852 Premier Pharmacy LLC Pharmacy 53 Stiles Rd Ste B102, Salem, NH 03079-2890 2019-01-18
1659857480 Avalina Pharmacy Inc Pharmacy 3507 Commercial St Se, Salem, OR 97302 2018-07-16
1386090793 Good Living Inc Pharmacy 1201 N Jim Day Rd Ste B, Suite B, Salem, IN 47167-7219 2016-05-05
1760859367 Quisenberry Health System Pharmacy, LLC Pharmacy 148 Liberty St Se, Salem, OR 97301-3506 2015-08-31
1649306531 Benignity LLC Dba Fort Lewis Pharmacy Pharmacy 2246 West Main St, Salem, VA 24153 2007-02-26
1316047749 Cvs Pharmacy Inc Pharmacy 272 Highland Ave, Salem, MA 01970-1832 2006-09-25
1366542318 Guffeys Pharmacy Inc Pharmacy 172 Hwy 62 E, Suite 2, Salem, AR 72576-0155 2006-09-22
1487753836 Cvs Pharmacy Inc Pharmacy 200 Essex St, Salem, MA 01970-3705 2006-09-22
1730288184 Cvs Pharmacy Inc Pharmacy 426b Essex St, Salem, MA 01970-3152 2006-09-22
1982707618 Virginia Cvs Pharmacy, L.L.C. Pharmacy 179 Electric Rd, Salem, VA 24153-4432 2006-09-07
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Competitor

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City SALEM
Zip Code 47167

Improve Information

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Dataset Information

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.

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