KROGER LIMITED PARTNERSHIP I


Address: 1125 W State Blvd, Fort Wayne, IN 46808-3185
Phone: 2604264487

KROGER LIMITED PARTNERSHIP I (NPI# 1689879074) 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) 1689879074
Entity Type Organization
Organization Name KROGER LIMITED PARTNERSHIP I
Other Organization Name SCOTTS PHARMACY J412
Practice Address 1125 W State Blvd
Fort Wayne
IN 46808-3185
Mailing Address Po Box 842772
Boston
MA 02284-2772
Practice Telephone 2604264487
Practice Fax Number 2604243079
Mailing Telephone 5137621019
Mailing Fax Number 5137621092
Enumeration Date 2007-06-18
Last Update Date 2016-05-16
Authorized Official Name ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
Authorized Official Telephone 5137621019
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
60006089A IN Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2025510 01
IN 200872440A 05

Other Provider/Organization Names

Other Name Type Code
SCOTTS PHARMACY J412 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 1125 W STATE BLVD
City FORT WAYNE
State IN
Zip Code 46808-3185

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528605292 Ronald Lynn Miller Pharmacist 1125 W State Blvd, Fort Wayne, IN 46808-3185 2019-12-02
1073159315 Donald Henry Pharmacist 1125 W State Blvd, Fort Wayne, IN 46808-3185 2019-11-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295347102 Austin Hartzog Pharmacist 5110 Value Drive, Fort Wayne, IN 46808 2020-08-21
1407358377 Bryan Black Specialist/Technologist 3946 Ice Way Fort Wayne, Fort Wayne, IN 46808 2018-03-06
1326557877 Kimberly K Kolb Occupational Therapy Assistant 1431 Runnion Ave, Fort Wayne, IN 46808 2017-09-28
1396142063 Christina Ryder Specialist/Technologist 3946 Iceway, Fort Wayne, IN 46808 2014-11-25
1912090440 Neighborcare of Indiana, LLC Pharmacy 3402 Congressional Pkwy, Ft. Wayne, IN 46808 2006-10-02
1619945888 Beth Ann Herrell Specialist/Technologist 3946 Ice Way, Fort Wayne, IN 46808 2006-03-14
1568458990 Carolyn Warner Greer Obstetrics & Gynecology 1415 Directors Row, Fort Wayne, IN 46808 2005-09-21
1750851168 Tyler Cheney Specialist/Technologist 3946 Ice Way, Fort Wayne, IN 46808 2018-11-28
1487123550 Michaela Mcguire Specialist/Technologist 3946 Ice Way, Fort Wayne, IN 46808 2018-11-19
1861961088 Olivia Marquardt Specialist/Technologist 3946 Ice Way, Fort Wayne, IN 46808 2018-11-16
Find all providers in zip 46808

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
1659576395 Kroger Limited Partnership I Pharmacy 5300 Decatur Rd, Fort Wayne, IN 46806-3058 2007-06-20
1427253756 Kroger Limited Partnership I Pharmacy 7008 Bluffton Rd, Fort Wayne, IN 46809-2706 2007-06-18
1578768974 Kroger Limited Partnership I Pharmacy 6310 E State Blvd, Fort Wayne, IN 46815-7023 2007-06-18
1679778989 Kroger Limited Partnership I Pharmacy 10230 Chestnut Plaza Dr, Fort Wayne, IN 46814-8970 2007-06-18
1275737355 Kroger Limited Partnership I Pharmacy 710 E Dupont Rd, Fort Wayne, IN 46825-2056 2007-06-13
1790989879 Kroger Limited Partnership I Pharmacy 4120 N Clinton St, Fort Wayne, IN 46805-1230 2007-06-13
1043414121 Kroser Limited Phartnership I Pharmacy 3105 N Anthony Blvd, Fort Wayne, IN 46805-2227 2007-06-13
1275636961 Hook Superx LLC Pharmacy 2811 Getz Rd, Fort Wayne, IN 46804-3064 2006-09-07
1588767297 Hook Superx LLC Pharmacy 7330 Lima Rd, Fort Wayne, IN 46818-1130 2006-09-07
1689777393 Hook Superx LLC Pharmacy 2802 E State Blvd, Fort Wayne, IN 46805-4733 2006-09-07
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46808

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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