KROGER PHARMACY
NPI 1144393760
Pharmacy - Community/Retail Pharmacy in Peoria, IL

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

The NPI number for Kroger Limited Partnership I is 1144393760. It was assigned to this organization in the NPPES registry on November 15, 2006. 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 November 15, 2006

2321 N WISCONSIN AVE, PEORIA, IL 61603(309) 688-9456(309) 688-9609 Get Directions Write a Review

NPPES record last updated: May 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kroger Pharmacy NPPES

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

KROGER PHARMACY (NPI 1144393760) is a healthcare organization registered as a community/retail pharmacy in Peoria, Illinois and active in the NPI registry since November 2006. The organization lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1144393760

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameKROGER LIMITED PARTNERSHIP I

Location Address2321 N WISCONSIN AVEPeoria, IL 61603-5613

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

Phone(309) 688-9456

Fax(309) 688-9609

Organization SubpartNo

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

Enumeration DateNovember 15, 2006

Last NPPES UpdateMay 18, 2016

✔ NPI 1144393760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in IL · 054014396

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

2321 N WISCONSIN AVE, Peoria, IL 61603

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Other Names 1

Doing Business AsKroger Pharmacy

Other Identifiers 5

Medicare PINP00637372

Medicare PINIL1029

Other2025404Pk

Medicaid=========863IL

Medicare NSC1193770470

Other Providers at the Same Location NPPES 17

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

TERRYL A. POLANIN FNP

Nurse Practitioner (Family)