KROGER PHARMACY
NPI 1023136108
Pharmacy - Community/Retail Pharmacy in Lexington, KY

Q: What is Kroger Limited Partnership I's NPI number?

The NPI number for Kroger Limited Partnership I is 1023136108. It was assigned to this organization in the NPPES registry on March 27, 2007. The provider is doing business as Kroger Pharmacy.

Q: What is Kroger Limited Partnership I's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since March 27, 2007CLIA Certified · 2 labs

1600 LEESTOWN RD STE 150, STE 150, LEXINGTON, KY 40511(859) 259-0965(859) 259-0962 Get Directions Write a Review

NPPES record last updated: September 29, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 29, 2016, May 16, 2016 (2 updates tracked since 2016).

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About Kroger Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KROGER PHARMACY (NPI 1023136108) is a healthcare organization registered as a community/retail pharmacy in Lexington, Kentucky and active in the NPI registry since March 2007. The organization holds 2 active CLIA laboratory certificates and lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1023136108

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameKROGER LIMITED PARTNERSHIP I

Location Address1600 LEESTOWN RD STE 150, STE 150Lexington, KY 40511-2136

Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092

Phone(859) 259-0965

Fax(859) 259-0962

Organization SubpartNo

Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019

Enumeration DateMarch 27, 2007

Last NPPES UpdateSeptember 29, 20162 updates tracked since enumeration

✔ NPI 1023136108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in KY · 7170

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

1600 LEESTOWN RD STE 150, Lexington, KY 40511

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Other Names 1

Doing Business AsKroger Pharmacy

Other Identifiers 5

Medicare NSC1193770670

Other2034923Pk

Medicaid54012927KY

Medicare PINK164440

Medicare PINP00098349

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2000424

Kroger Pharmacy L-768 · Lexington, KY

Active · expires Nov 30, 2027

CLIA Number18D2000424

Laboratory TypePharmacy

Certificate Effective DateDecember 1, 2025

Certificate Expiration DateNovember 30, 2027

Laboratory DirectorMs. Phelirisima Roberts

Laboratory Phone(859) 259-0965

Laboratory LocationKroger Pharmacy L-7681600 Leestown Rd Ste 150, Lexington, KY 40511

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2328247

Kroger Pharmacy #024-797 · Lexington, KY

Active · expires Aug 5, 2027

CLIA Number18D2328247

Laboratory TypePharmacy

Certificate Effective DateAugust 6, 2025

Certificate Expiration DateAugust 5, 2027

Laboratory DirectorMs. Pheli Roberts

Laboratory Phone(859) 402-8630

Laboratory LocationKroger Pharmacy #024-797760 Newtown Springs Drive, Lexington, KY 40511

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

79 services78 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

77 services76 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Kroger Pharmacy L-768 carries, from the Medicare DMEPOS supplier directory.

Kroger Pharmacy L-768

DMEPOS supplier · Lexington, KYOperated by Kroger Limited Partnership I

✔

Accepts Medicare assignment

Kroger Pharmacy L-768 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20595797

Medicare Participant SinceAugust 27, 2003

Supplier Location1600 Leestown Rd Ste 150Lexington, KY 40511

Phone(859) 259-0965

Supplier Specialties

Pharmacy

Medicare Product Categories

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTIN CORNETT PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

1600 LEESTOWN RD STE 150
LEXINGTON, KY 40511

Fayette County (859) 259-0965

JAMES COREY ALLEN

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

1600 LEESTOWN RD STE 150
LEXINGTON, KY 40511

Fayette County (859) 259-0965

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kroger Limited Partnership I's NPI number?

The NPI number for Kroger Limited Partnership I is 1023136108. It was assigned to this organization in the NPPES registry on March 27, 2007. The provider is doing business as Kroger Pharmacy.

Where is Kroger Limited Partnership I located?

Kroger Limited Partnership I is located at 1600 Leestown Rd Ste 150 Ste 150, Lexington, KY 40511. The listed phone number is (859) 259-0965.

What is Kroger Limited Partnership I's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Kroger Limited Partnership I accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Kroger Pharmacy L-768 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Kroger Limited Partnership I hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Kroger Limited Partnership I accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 43 other insurers list Kroger Limited Partnership I as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kroger Limited Partnership I was last updated on September 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.