Kroger Pharmacy
LBN: Kroger Limited Partnership I
Kroger Pharmacy is an health care organization with primary practice located at 324 E State Blvd , Fort Wayne IN 46805-3224. 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 / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Kroger Limited Partnership I can be contacted via phone (260) 426-1731, or through Feltman, Matthew via phone (513) 762-1095.
Contact Information
Primary practice address
324 E State Blvd
Fort Wayne IN 46805-3224
Phone: (260) 426-1731
Fax: (260) 424-1672
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 60005171 | Indiana |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1396818910 |
|---|---|
| LBN Legal business name | Kroger Limited Partnership I |
| DBA Doing business as | Kroger Pharmacy |
| Authorized official | Feltman, Matthew |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396818910 | NPPES |
| Other | 1524784 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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