Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
KROGER PHARMACY DBA PAYLESS
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW FELTMAN (MGR PHARMACY INTERFACE)
(513) 762-1095
Entity
Organization
Contact information
Practice address
2813 NICHOL AVE, ANDERSON, IN 46011-3141
(765) 649-9021
(765) 648-2344
Mailing address
1014 VINE ST, CINCINNATI, OH 45202-1141
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
333600000X
Pharmacy
60005519
IN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1531676
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/15/2006
Last updated
09/11/2025
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