Kroger Limited Partnership I
Pharmacy, Community/Retail Pharmacy in Columbia, TN. Organization (NPI-2).
Details
- NPI
- 1467486191
- Entity type
- Organization (NPI-2)
- Legal business name
- Kroger Limited Partnership I
- Organization subpart
- No
- Enumeration date
- Jul 10, 2006
- Certification date
- Apr 28, 2025
- Last updated
- Apr 28, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 1731 | TN | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Kroger Pharmacy (Doing Business As)
Practice location
1202 Sj Campbell BlvdColumbia, TN 38401
Phone 931-388-9004 · Fax 931-840-5742
Mailing address
Po Box 842772Boston, MA 02284-2772
Phone 513-762-1019 · Fax 513-762-1092
Authorized official
Allison Muennich
Manager Of Pharmacy Licensing
5137621019
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 11 Community/Retail Pharmacy providers in Columbia · All 1,681 providers in Columbia
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