Kroger Limited Partnership I

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KROGER LIMITED PARTNERSHIP I

Doing business as

Kroger Pharmacy Delta Division

Practice address

2700 E 4TH Ave
Hutchinson, KS 67501-1903

Phone

(866) 680-5133

Fax

(620) 669-1898

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Wendell Mark Woolf, RPH

Title

Director of Pharmacy

Phone

(513) 762-4672

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Kroger Pharmacy Delta Division Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Tax ID family

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

Organizations with this tax ID in the same state 4

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
  • Hutchinson, KS
  • NPI 1043353204
  NPD tax ID
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Hutchinson, KS
  • NPI 1396888566
  NPD tax ID
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Hutchinson, KS
  • NPI 1558404798
  NPD tax ID
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Hutchinson, KS
  • NPI 1912040312
  NPD tax ID

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1962545145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305219",
            "address_2": "KROGER PHARMACY DELTA",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372305219",
            "telephone_number": "866-680-5133",
            "fax_number": "620-669-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E 4TH AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675011903",
            "telephone_number": "866-680-5133",
            "fax_number": "620-669-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROGER LIMITED PARTNERSHIP I",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "WOOLF",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "513-762-4672",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MASS IMMUNIZER",
            "identifier": "10609",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MASS IMMUNIZER",
            "identifier": "3913544",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kroger Pharmacy Delta Division",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kroger Co of Michigan
• Kroger Limited Partnership I
• Kroger Limited Partnership I
• Kroger Limited Partnership I
• Kroger Limited Partnership I
• Kroger Texas LP
• Raymond A Kurowski, DDS
• Morgan La, CNM
• Lackey & Nielson Chiropractic PA
• Andrea Lynn-Nielson Lackey, DC

• Community/Retail Pharmacy in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.