# KROGER LIMITED PARTNERSHIP I

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** KROGER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740214527
- **Authorized official:** JESSIE WARMAN (MANAGER OF PHARMACY LICENSING)
- **Authorized official phone:** (513) 762-1090

## Contact information

- **Practice address:** 110 KEATING RD, BATESVILLE, MS 38606-2900
- **Practice address phone:** (662) 578-4399
- **Practice address fax:** (662) 578-0192
- **Mailing address:** PO BOX 842772, BOSTON, MA 02284-2772
- **Mailing address phone:** (513) 762-1019
- **Mailing address fax:** (513) 762-1092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 0472501KB | MS | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 03/13/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00330514 | — | MS |
| 01 | — | 2045928 | PK | — |