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	021042650	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2075958	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649204447
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	:	2120 BEECHMONT AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45230-1621
Country	:	US
Telephone Number	:	513-232-4474
Fax Number	:	513-231-3965

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	:	02/04/2020

Similar Medicare Providers

1568854883 — MRS. CARY BETH HARTNESS RPH
Practice Location Address:

2120 BEECHMONT AVE
CINCINNATI, OH
45230-1621

Practice Phone: 513-232-4474
Practice Fax: 513-231-3965

1992335962 — KIMBERLY ANN TRASK PHARMD
Practice Location Address:

2120 BEECHMONT AVE
CINCINNATI, OH
45230-1621

Practice Phone: 513-232-4474
Practice Fax:

1942804307 — ALLISON HARRISON RPH, PHARMD
Practice Location Address:

2120 BEECHMONT AVE
CINCINNATI, OH
45230-1621

Practice Phone: 513-232-4474
Practice Fax:

1023843117 — EMILY PEACE
Practice Location Address:

2120 BEECHMONT AVE
CINCINNATI, OH
45230-1621

Practice Phone: 513-232-4474
Practice Fax:

1972946655 — AUNDAYA ONAWA DIXON
Practice Location Address:

1621 LINN ST APT 514
CINCINNATI, OH
45214-2551

Practice Phone: 513-490-5305
Practice Fax:

1437712908 — YOLANDA RAE NASH JR. CNA
Practice Location Address:

1621 LINN ST APT 1415
CINCINNATI, OH
45214-2571

Practice Phone: 513-510-7364
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.