NPIMap

Kroger Limited Partnership I

Organization Active NPI Community/Retail Pharmacy · Franklin, IN

NPI 1720151244 · NPPES record last updated Sep 21, 2016

Key facts

NPI
1720151244
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
60005283 (IN)
Legal business name
KROGER LIMITED PARTNERSHIP I
Practice address
970 N Morton St
Franklin, IN 46131-1373
Phone
(317) 736-9574
Fax
(317) 736-9427
NPI assigned
Nov 15, 2006
Organization subpart
No

Authorized official

Name
Allison Muennich
Title
Manager of Pharmacy Licensing
Phone
(513) 762-1019

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D1077270Kroger Pharmacy #979
970 N Morton St, Franklin, IN 46131		Certificate of waiverApr 20, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Kroger Pharmacy #979
970 N Morton St, Franklin, IN 46131-1373 · (317) 736-9574		 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 assignment
Participating since Aug 27, 2003

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080527000505 IN Part B Supplier - Pharmacy 8224930136 This NPI is an additional NPI on the enrollment
O20100930040643 IN DME Supplier - Pharmacy
DME Supplier - Grocery Store		 8224930136 Practice locations: Franklin, IN

National Provider Directory

Tax ID family
Krogerthe Kroger Pharmac (611 organizations share this tax ID)

Locations

1700 Northwood Plz
Franklin, IN 46131

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 60005283 IN Yes

Addresses

Primary practice location

970 N Morton St
Franklin, IN 46131-1373

Mailing address

PO Box 842772
Boston, MA 02284-2772
Phone (513) 762-1019

Other identifiers

IdentifierTypeStateIssuer
200180580AMedicaidIN
2024026OtherPK

Other names

  • KROGER PHARMACY #979 Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 21, 2016.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1720151244",
    "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": "970 N MORTON ST",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461311373",
            "telephone_number": "317-736-9574",
            "fax_number": "317-736-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROGER LIMITED PARTNERSHIP I",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2016-09-21",
        "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": "513-762-1019"
    },
    "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": "60005283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200180580A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2024026",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KROGER PHARMACY #979",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, IN

All providers in Franklin, IN · Community/Retail Pharmacy in Indiana

Sources for this page

Verify at the official NPI Registry.