NPIMap

Organization Active NPI

Kroger Limited Partnership I

Doing business as Kroger Pharmacy #473

  • Community/Retail Pharmacy
  • Newport, KY
National Provider Identifier
1104791078
Registry record updated Oct 9, 2025
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 #473
Practice address
20 W 6TH St
Newport, KY 41071-1825
Phone
(859) 663-2261
Fax
(859) 287-3392
NPI assigned
Oct 9, 2025
Last updated
Oct 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Lysette Seilhamer
Title
Manager of Licensing
Phone
(513) 762-1090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

20 W 6TH St
Newport, KY 41071-1825

Mailing address

1014 Vine St
Cincinnati, OH 45202-1141

Other names 1

  • Kroger Pharmacy #473 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050422000416 KY Part B Supplier - Mass Immunization (Roster Biller Only) 8224930136 This NPI is an additional NPI on the enrollment
O20260316001629 KY DME Supplier - Pharmacy 8224930136 Practice locations: Newport, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Kroger Pharmacy #47320 W 6TH St, Newport, KY 41071-1825(859) 663-2261 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Nebulizer Equipment a… Accepts assignmentParticipating since Aug 27, 2003

National Provider Directory

National Provider Directory
Tax ID family
Kroger 423611 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 486)

241 Highway 31 SW
Hartselle, AL 35640
Phone (255) 752-2102

4579 Wall Triana Hwy
Madison, AL 35758
Phone (256) 461-0914

303 S Saint Louis St
#687
Batesville, AR 72501
Phone (870) 793-3000

1410 Military Rd
Benton, AR 72015
Phone (501) 315-3434

1410 Military Rd
#637
Benton, AR 72015
Phone (501) 315-3434

20820 Interstate 30 N
Benton, AR 72019
Phone (501) 574-3880

20820 Interstate 30 N
#629
Benton, AR 72019
Phone (501) 574-3884

400 W Moultrie Dr
#465
Blytheville, AR 72315
Phone (870) 763-7958

523 N 6th St
Blytheville, AR 72315
Phone (870) 762-2024

523 N 6th St
#777
Blytheville, AR 72315
Phone (870) 762-2024

1295 W Main St
Cabot, AR 72023
Phone (501) 628-5187

1295 W Main St
#613
Cabot, AR 72023
Phone (501) 628-5187

101 Oak St
Conway, AR 72032
Phone (501) 329-0795

101 Oak St
#652
Conway, AR 72032
Phone (501) 329-0795

855 Salem Rd
#625
Conway, AR 72034
Phone (501) 329-3981

301 Pine Bluff Hwy
England, AR 72046
Phone (501) 842-3417

215 Airport Rd
#619
Hot Springs, AR 71913
Phone (501) 623-2650

3341 Central Ave
#590
Hot Springs, AR 71913
Phone (501) 624-5542

4407 Central Ave
#621
Hot Springs, AR 71913
Phone (501) 525-7296

3341 Central Ave
Hot Springs National Park, AR 71913
Phone (501) 318-2152

103 Gregory Pl
Jacksonville, AR 72076
Phone (501) 985-0822

103 Gregory Pl
#614
Jacksonville, AR 72076
Phone (501) 985-0822

1725 S Caraway Rd
Jonesboro, AR 72401
Phone (870) 972-4739

1725 S Caraway Rd
#409
Jonesboro, AR 72401
Phone (870) 972-4739

10300 N Rodney Parham Rd
Little Rock, AR 72227
Phone (501) 221-8301

Practitioners & affiliated clinicians

Practitioners 1,478

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,478

NPI Registry JSON

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1104791078",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W 6TH ST",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410711825",
            "telephone_number": "859-663-2261",
            "fax_number": "859-287-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROGER LIMITED PARTNERSHIP I",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "SEILHAMER",
        "authorized_official_first_name": "LYSETTE",
        "authorized_official_title_or_position": "MANAGER OF LICENSING",
        "authorized_official_telephone_number": "513-762-1090"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kroger Pharmacy #473",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.