Kroger Limited Partnership I

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0000001874 Issued in TN

Legal business name

KROGER LIMITED PARTNERSHIP I

Practice address

1203 Murfreesboro Rd
Franklin, TN 37064-3013

Phone

(615) 790-1177

Fax

(615) 791-8245

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

Allison Muennich

Title

Manager of Pharmacy Licensing

Phone

(513) 762-1019

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Kroger Pharmacy #592 Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 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

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
  • Memphis, TN
  • NPI 1720012453
  NPD tax ID
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Franklin, TN
  • NPI 1730104456
  NPD tax ID
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Brentwood, TN
  • NPI 1740377431
  NPD tax ID
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Franklin, TN
  • NPI 1740515808
  NPD tax ID
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Nashville, TN
  • NPI 1750306478
  NPD tax ID
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Hendersonville, TN
  • NPI 1760416499
  NPD tax ID
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Shelbyville, TN
  • NPI 1770517419
  NPD tax ID
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Memphis, TN
  • NPI 1780139154
  NPD tax ID
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Thompsons Station, TN
  • NPI 1780618421
  NPD tax ID
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Pigeon Forge, TN
  • NPI 1790719425
  NPD tax ID
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Knoxville, TN
  • NPI 1790719433
  NPD tax ID
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Franklin, TN
  • NPI 1801811526
  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

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1801820535",
    "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": "1203 MURFREESBORO RD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370643013",
            "telephone_number": "615-790-1177",
            "fax_number": "615-791-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROGER LIMITED PARTNERSHIP I",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-08-02",
        "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": "TN",
            "license": "0000001874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2090426",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kroger Pharmacy #592",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christy Lynn Kroeker, R.PH.
• Kroger Limited Partnership I
• Kroger Limited Partnership I
• Kroger Limited Partnership I
• Kroger Limited Partnership I
• Reilly Katherine Kucko
• Megan Kuhn
• Makenzie Kuivanen
• Pranav Kukreja
• Jeffrey Ian Kutsikovich, MD

• All providers in Franklin, TN
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.