Organization
KROGER LIMITED PARTNERSHIP I
Active
Other names
Kroger Pharmacy #497
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
143 FRIENDLY AND FRESH DR, FLOWOOD, MS 39232-6615
(601) 992-6873
(601) 992-9615
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
03987/01.2
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01572046
—
MS
01
—
2123914
PK
—
Enumeration date
03/01/2010
Last updated
05/16/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up