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 1164447868

Kroger Limited Partnership I is a Durable Medical Equipment & Medical Supplies in Jackson, 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

3520 Terry Rd
Jackson, MS 39212-4943
Phone: (601) 371-5067
Fax: (601) 371-5071
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 0227401KJ (MS)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1164447868
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karla Langworthy — Manager Of Pharmacy Credentialing · (513) 698-1878
Other names Kroger Pharmacy
NPI enumeratedJuly 13, 2006
Last updated in NPPESApril 7, 2014
Mailing address800 Ridge Lake Blvd, Memphis, TN 38120-9427

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