Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kroger Limited Partnership I

Organization Durable Medical Equipment & Medical Supplies · NPI 1093749871

Kroger Limited Partnership I is a Durable Medical Equipment & Medical Supplies in Vicksburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
Specialties on file
3

Practice location Address checks out

3405 Pemberton Square Blvd
Vicksburg, MS 39180-5574
Phone: (601) 638-3412
Fax: (601) 638-3628
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 1957012 (MS)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1093749871
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matt Mineer — Interface Manager · (513) 387-7074
Other names Kroger Pharmacy
NPI enumeratedJuly 10, 2006
Last updated in NPPESJune 24, 2009
Mailing address800 Ridge Lake Blvd, Memphis, TN 38120-9427

Other providers in Vicksburg