Kroger Limited Partnership I

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KROGER LIMITED PARTNERSHIP I

Doing business as

Kroger Pharmacy Ce402

Practice address

496 W Plaza Dr
Columbia City, IN 46725-1019

Phone

(260) 248-2895

Fax

(260) 248-2950

NPI assigned

Jun 20, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wendell Mark Woolf, RPH

Title

Pharmacy Director

Phone

(513) 762-4672

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• KROGER PHARMACY CE402 Doing business as

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1881899524",
    "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",
            "telephone_number": "513-762-4672",
            "fax_number": "513-762-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 W PLAZA DR",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251019",
            "telephone_number": "260-248-2895",
            "fax_number": "260-248-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROGER LIMITED PARTNERSHIP I",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WOOLF",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "513-762-4672",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP ID",
            "identifier": "1561655",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KROGER PHARMACY CE402",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori M Kirgis, D.C.
• Amanda Knowles
• Paritosh Sudhakar Kolhe
• Amanda J Korn, NP
• Kroger Limited Partnership I (Kroger Pharmacy)
• Scott A Lahren, RPH
• Paula Anne Langeloh, MSN, FNP-C
• Curt Laukhuf
• James S. Lawrence, D.D.S.
• Rileigh Leek, LMHCA

• Durable Medical Equipment & Medical Supplies in Columbia City, IN
• Providers in Columbia City, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.