MEDICARE: KROGER LIMITED PARTNERSHIP I

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	021043600	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2072116	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114951910
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KROGER LIMITED PARTNERSHIP I

Provider Business Mailing Address
First Line	:	PO BOX 842772
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02284-2772
Country	:	US
Telephone Number	:	513-762-1019
Fax Number	:	513-762-1092

Provider Business Practice Location Address
First Line	:	4530 EASTGATE BLVD STE 500
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45245-1256
Country	:	US
Telephone Number	:	513-752-8479
Fax Number	:	513-752-6525

Authorized Official
Title or Position	:	MANAGER PHARMACY LICENSING
Name	:	JESSIE WARMAN
Credential	:
Telephone Number	:	513-762-1090

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	04/17/2024

Similar Medicare Providers

1306457858 — DR. KELSEY L JONES PHARMD
Practice Location Address:

4530 EASTGATE BLVD STE 500
CINCINNATI, OH
45245-1256

Practice Phone: 513-943-6340
Practice Fax:

1437792173 — ALL SMILES DENTAL STUDIO OF CINCINNATI, LLC
Practice Location Address:

4530 EASTGATE BLVD STE 620
CINCINNATI, OH
45245-1256

Practice Phone: 513-753-9111
Practice Fax: 513-214-1193

1174150742 — KELLI HOLDEN
Practice Location Address:

4530 EASTGATE BLVD STE 500
CINCINNATI, OH
45245-1256

Practice Phone: 513-943-6340
Practice Fax:

1619688157 — MEOH, LLC
Practice Location Address:

4530 EASTGATE BLVD STE 628B
CINCINNATI, OH
45245-1256

Practice Phone: 513-854-4129
Practice Fax:

1659442390 — MRS. MIRIAM P WARSHAUER LISW
Practice Location Address:

2444 MADISON RD , 109
CINCINNATI, OH
45208-1256

Practice Phone: 513-924-0021
Practice Fax: 513-924-9001

1336370469 — MRS. TINA MARIE CADAVID LISW-S
Practice Location Address:

822 DELTA AVE
CINCINNATI, OH
45226-1256

Practice Phone: 513-460-9533
Practice Fax:

Directions to “KROGER LIMITED PARTNERSHIP I ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.