Kroger Limited Partnership I

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60006647A Issued in IN

Legal business name

KROGER LIMITED PARTNERSHIP I

Practice address

1500 W McGalliard Rd
Muncie, IN 47304-2203

Phone

(765) 741-1494

Fax

(765) 741-1496

NPI assigned

Nov 17, 2017

Organization subpart

No

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

Authorized official

Name

Allison Muennich

Title

Manager of Pharmacy Licensing

Phone

(513) 762-1263

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 2

• Kroger Pharmacy #336 Doing business as
• Payless Pharmacy #336 Other name

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

Tax ID family

Krogerthe Kroger Pharmac611 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Floyds Knobs, IN
  • NPI 1124052931
  NPD tax ID
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Richmond, IN
  • NPI 1124191747
  NPD tax ID
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Columbus, IN
  • NPI 1134292758
  NPD tax ID
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Westfield, IN
  • NPI 1154480523
  NPD tax ID
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Indianapolis, IN
  • NPI 1174696694
  NPD tax ID
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Shelbyville, IN
  • NPI 1184797607
  NPD tax ID
• Kroger Limited Partnership I

  • Durable Medical Equipment & Medical Supplies
  • Anderson, IN
  • NPI 1194898619
  NPD tax ID
• Kroger Limited Partnership I

  • Durable Medical Equipment & Medical Supplies
  • Indianapolis, IN
  • NPI 1205909728
  NPD tax ID
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Kokomo, IN
  • NPI 1205909827
  NPD tax ID
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Bloomington, IN
  • NPI 1215000831
  NPD tax ID
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Noblesville, IN
  • NPI 1215896568
  NPD tax ID
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Bedford, IN
  • NPI 1215961024
  NPD tax ID

Member of 1

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

• The Kroger Co

  • Community/Retail Pharmacy
  • Woodstock, GA
  • NPI 1720012560

  Member Of

  NPD member

Locations

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1255845871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842772",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022842772",
            "telephone_number": "513-762-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W MCGALLIARD RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473042203",
            "telephone_number": "765-741-1494",
            "fax_number": "765-741-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROGER LIMITED PARTNERSHIP I",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-17",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "MUENNICH",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "MANAGER OF PHARMACY LICENSING",
        "authorized_official_telephone_number": "513-762-1263"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006647A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2173890",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kroger Pharmacy #336",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Payless Pharmacy #336",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Frank Harold Krause, ED.D.,HSPP
• Lexi Grace Kreamelmeyer
• Kregg Koons O.D., Inc.
• Kregg Koons O.D., Inc.
• Kregg Koons O.D., Inc.
• Kroger Limited Partnership I
• Theresa Anne Kruczek, PH.D.
• Kathryn E Kruse, PA-C
• Natalie Kruzliakova, PHD, RDN, LD
• Tarek Kteleh, MD

• All providers in Muncie, IN
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.