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

Kroger Limited Partnership I

Organization Durable Medical Equipment & Medical Supplies · NPI 1164670063

Kroger Limited Partnership I is a Durable Medical Equipment & Medical Supplies in Vicksburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2008.

Licensed in
MS
In the registry since
2008
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3408 Pemberton Square Blvd
Vicksburg, MS 39180-5573
Phone: (601) 630-4003
Fax: (601) 630-4004
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 07832 (MS)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1164670063
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessie Warman — Manager Of Pharmacy Licensing · (513) 762-1090
Other names Kroger Pharmacy; Kroger Pharmacy
NPI enumeratedSeptember 4, 2008
Last updated in NPPESMarch 13, 2020
Certification dateMarch 13, 2020
Mailing addressPo Box 842772, Boston, MA 02284-2772

Other providers in Vicksburg