Organization Active NPI

Kroger Limited Partnership I

Doing business as Kroger Pharmacy 359

  • Community/Retail Pharmacy
  • Charlottesville, VA
National Provider Identifier
1083053284
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KROGER LIMITED PARTNERSHIP I
Doing business as
Kroger Pharmacy 359
Practice address
1159 Emmet St N
Charlottesville, VA 22903-4837
Phone
(540) 563-3593
NPI assigned
Jun 20, 2013
Last updated
Jun 20, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
THE KROGER CO.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karla Evans
Title
Licensing Manager
Phone
(513) 698-1878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1159 Emmet St N
Charlottesville, VA 22903-4837

Mailing address

1014 Vine St
Cincinnati, OH 45202-1141
Phone (513) 762-1263

Other names 1

  • Kroger Pharmacy 359 Doing business as

National Provider Directory

National Provider Directory
Part of
Kroger Pharmacy 253

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1083053284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021141",
            "telephone_number": "513-762-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 EMMET ST N",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034837",
            "telephone_number": "540-563-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROGER LIMITED PARTNERSHIP I",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE KROGER CO.",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "LICENSING MANAGER",
        "authorized_official_telephone_number": "513-698-1878"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kroger Pharmacy 359",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.