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	60005180	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2027213	OTHER		PK

General Provider Information

NPI Number	:	1023181542
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	:	172 LOGAN ST
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-1437
Country	:	US
Telephone Number	:	317-776-3347
Fax Number	:	317-776-3348

Authorized Official
Title or Position	:	MANAGER OF PHARMACY LICENSING
Name	:	ALLISON MUENNICH
Credential	:
Telephone Number	:	513-762-1019

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	05/16/2016

Similar Medicare Providers

1649149972 — YE RIN CHOI RPH
Practice Location Address:

172 W LOGAN ST
NOBLESVILLE, IN
46060-1437

Practice Phone: 317-776-3347
Practice Fax:

1720624687 — MICHELLE MARIE BERDING PHARMD
Practice Location Address:

172 LOGAN ST
NOBLESVILLE, IN
46060-1437

Practice Phone: 317-776-3347
Practice Fax:

1881540029 — JEAHYUNG LIM PHARMD
Practice Location Address:

172 W LOGAN ST
NOBLESVILLE, IN
46060-1437

Practice Phone: 747-270-9611
Practice Fax:

1629637020 — JOSEPHSON-WALLACK-MUNSHOWER NEUROLOGY PC
Practice Location Address:

325 WESTFIELD RD STE D
NOBLESVILLE, IN
46060-1496

Practice Phone: 765-298-4545
Practice Fax: 765-298-4945

1346170156 — CECILIA RAY VIGREN PT
Practice Location Address:

16289 BODEN RD STE 2
NOBLESVILLE, IN
46060-9729

Practice Phone: 317-817-1200
Practice Fax:

1114645314 — KATELYN IRENE FLECK PT, DPT
Practice Location Address:

14701 CUMBERLAND RD STE 300
NOBLESVILLE, IN
46060-4374

Practice Phone: 317-284-1166
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.