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 1902821622

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

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

Practice location Address checks out

1230 N Houston Levee Rd
Cordova, TN 38018-6653
Phone: (901) 751-0394
Fax: (901) 751-1067
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 3794 (TN)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1902821622
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessie Warman — Manager Of Pharmacy Licensing · (513) 762-1090
Other names Kroger Pharmacy #25-457; Kroger Pharmacy #25-457
NPI enumeratedJuly 13, 2006
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025
Mailing addressPo Box 842772, Boston, MA 02284-2772

Other providers in Cordova