Organization · Type 2 NPI

Kroger Limited Partnership I

Community/Retail Pharmacy · Memphis, TN

NPI number 1194005629 Active

Practice location

7735 Farmington Blvd
Memphis, TN 38138-2901

Call (901) 754-5124 Map

Fax (901) 758-3632

Mailing address

P.o. Box 842772
Boston, MA 02284

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	00004096 (TN)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

14 other providers at this address

Other community/retail pharmacy providers in Memphis

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NPI record

NPI: 1194005629
Entity type: Organization (Type 2)
Issued: Aug 29, 2011
Last updated: Apr 22, 2025
Status: Active

Other names

<unavail>
Kroger Pharmacy #419 · doing business as
Kroger Pharmacy #419 · doing business as

Authorized official

Jessie Warman
Manager of Pharmacy Licensing
(513) 762-1090

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194005629

Kroger Limited Partnership I's National Provider Identifier is 1194005629, issued on Aug 29, 2011. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Memphis, TN. The record was last updated on Apr 22, 2025.