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 1245415868

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

Licensed in
MS
In the registry since
2008
Specialties on file
2

Practice location Address checks out

115 Colony Crossing Way
Madison, MS 39110-7697
Phone: (601) 605-5024
Fax: (601) 605-5027
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 0765011 (MS)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1245415868
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessie Warman — Manager Of Pharmacy Licensing · (513) 762-1090
Other names Kroger Pharmacy #472; Kroger Pharmacy #472
NPI enumeratedJanuary 2, 2008
Last updated in NPPESMarch 13, 2020
Certification dateMarch 13, 2020
Mailing addressPo Box 842772, Boston, MA 02284-2772

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