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 1639103401

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

406 Springridge Rd
Clinton, MS 39056-4804
Phone: (601) 924-7422
Fax: (601) 924-7423
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 1559012 (MS)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1639103401
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

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