Kroger Pharmacy

LBN: Kroger Limited Partnership I
Kroger Pharmacy is an health care organization with primary practice located at 3520 Terry Rd , Jackson MS 39212-4943. 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 (601) 371-5067, or through Langworthy, Karla via phone (513) 698-1878.

Contact Information

Primary practice address
3520 Terry Rd Jackson MS 39212-4943
Phone: (601) 371-5067
Fax: (601) 371-5071
Website:
Map and Directions
Authorized official contact:
Name: Langworthy, Karla
Phone: (513) 698-1878

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0227401KJ Mississippi

Profile Details

NPI number 1164447868
LBN Legal business name Kroger Limited Partnership I
DBA Doing business as Kroger Pharmacy
Authorized official Langworthy, Karla
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2006
Last updated Apr 7th, 2014 - about 10 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 1164447868 NPPES
Other 2045345 PK
MEDICAID 00330561 PK

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