Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
KROGER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER WILLIAMS (MANAGER PHARMACY LICENSING)
(513) 762-1090
Entity
Organization
Contact information
Practice address
5250 NEWTOWN DR, LIBERTY TWP, OH 45011-1223
(513) 887-8464
(513) 867-5421
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021055250
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2054011
—
OH
01
—
2075362
PK
—
Enumeration date
07/13/2006
Last updated
04/21/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us