Kroger Limited Partnership I

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

021044350 Issued in OH

Legal business name

KROGER LIMITED PARTNERSHIP I

Practice address

4100 Hunt Rd
Blue Ash, OH 45236-1100

Phone

(513) 792-1501

Fax

(513) 792-1502

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Jessie Warman

Title

Manager Pharmacy Licensing

Phone

(513) 762-1090

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• KROGER PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

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

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

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Carpenter, RPH

  • Pharmacist
  • Blue Ash, OH
  • NPI 1245622612
  NPD (past)
• Edward Driver

  • Pharmacist
  • Blue Ash, OH
  • NPI 1568854826
  NPD (past)
• Karen Helmes

  • Pharmacist
  • Blue Ash, OH
  • NPI 1467844852
  NPD (past)
• Amy Honebrink

  • Pharmacist
  • Blue Ash, OH
  • NPI 1336427459
  NPD (past)
• Danielle Leota Jones, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Fairborn, OH
  • NPI 1104555473
  NPD (past)
• Dustin Weiss, PHARM. D.

  • Pharmacist
  • Blue Ash, OH
  • NPI 1831581214
  NPD (past)
• Erin Newby, PHARMD

  • Pharmacist
  • North Attleboro, MA
  • NPI 1932417060
  NPD (past)
• Emily Sue Thibeault, PHARMD

  • Ambulatory Care Pharmacist
  • Boston, MA
  • NPI 1194912667
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1295769099",
    "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",
            "fax_number": "513-762-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 HUNT RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452361100",
            "telephone_number": "513-792-1501",
            "fax_number": "513-792-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROGER LIMITED PARTNERSHIP I",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "WARMAN",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "MANAGER PHARMACY LICENSING",
        "authorized_official_telephone_number": "513-762-1090"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "021044350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2075721",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0451256",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KROGER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KROGER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Koziel
• Savannah Jewel Kreiner
• David H Krick, MD
• Kricket Audiology, LLC
• Kroger Co
• Rebecca Krueger, C-NP
• Sara Krueger, LPC
• David Edwin Kuhlman, M.D.
• Amanda Jake Kuhlmann, MSW, LISW-S
• Madison Kummer

• Community/Retail Pharmacy in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.