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Export Provider Record NPI 1376791962
Kroger Limited Partnership I
Organization Subpart: NO
Active
NPI Number1376791962
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1376791962
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2008-09-08
Last Updated2020-03-13
Authorized OfficialJessie Warman
MANAGER OF PHARMACY LICENSING
Phone: 5137621090
Mailing AddressPo Box 842772
Boston, MA 02284-2772
United States
Phone: (513) 762-1019 | Fax: (513) 762-1092
📍 View Map
Primary Practice Address107 Highway 80 E
Clinton, MS 39056-4738
United States
Phone: (601) 925-6343 | Fax: (601) 925-6344
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDMS03605090-
Other (non-Medicare)-2116903PK
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No332B00000X – Durable Medical Equipment & Medical Supplies--
Yes3336C0003X – Pharmacy, Community/Retail PharmacyMS07866012
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About NPI 1376791962

Kroger Limited Partnership I is an organization registered in the CMS NPPES NPI Registry with NPI number 1376791962. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Clinton, MS. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-09-08. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1376791962?

NPI 1376791962 belongs to Kroger Limited Partnership I, a Pharmacy, Community/Retail Pharmacy in Clinton, MS. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1376791962 active?

The current status of NPI 1376791962 in the NPPES registry is Active. The record was last updated on 2020-03-13.

What specialty is NPI 1376791962?

NPI 1376791962 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1376791962?

You can verify NPI 1376791962 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1376791962?

The primary practice address on file for NPI 1376791962 is 107 Highway 80 E, Clinton, MS 39056-4738. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1376791962 issued?

NPI 1376791962 was first issued (enumerated) on 2008-09-08. The NPPES record was last updated on 2020-03-13.

Practice Location Map

Kroger Limited Partnership I is located at 107 Highway 80 E, Clinton, MS. Use the map below to find directions or verify the practice location.

📍 107 Highway 80 E, Clinton, MS 39056-4738  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Kroger Limited Partnership I. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1376791962. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail Pharmacy07866012MS
Data Verified from CMS NPPES Last synced: 2026-08-20 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162