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 1487727004

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

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

Practice location Address checks out

5110 N Clinton St
Fort Wayne, IN 46825-5735
Phone: (260) 484-9348
Fax: (260) 484-5400
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 60005170 (IN)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1487727004
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matt Mineer — Interface Manager · (513) 387-7074
Other names Kroger Pharmacy
NPI enumeratedNovember 15, 2006
Last updated in NPPESJune 24, 2009
Mailing address5960 Castleway West Dr, Indianapolis, IN 46250-1977

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