1. Home
  2. Directory
  3. Kentucky
  4. Louisville
  5. Pharmacy
  6. NPI Profile

KROGER LIMITED PARTNERSHIP I
NPI 1457376154
Pharmacy - Community/Retail Pharmacy in Louisville, KY

Active since July 13, 2006
12611 TAYLORSVILLE RD, LOUISVILLE, KY 40299(502) 261-7042(502) 266-2616 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 19, 2025, Jul 19, 2018, Apr 19, 2018 and 2 more (5 updates tracked since 2016).

About Kroger Limited Partnership I NPPES

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

KROGER LIMITED PARTNERSHIP I (NPI 1457376154), doing business as Kroger Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Louisville, Kentucky and active in the NPI registry since July 2006. The organization lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1457376154
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER LIMITED PARTNERSHIP I
Location Address12611 TAYLORSVILLE RDLouisville, KY 40299-4452
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(502) 261-7042
Fax(502) 266-2616
Organization SubpartNo
Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateJuly 13, 2006
Last NPPES UpdateSeptember 19, 20255 updates tracked since enumeration
✔ NPI 1457376154 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 KY · 7099
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
12611 TAYLORSVILLE RD, Louisville, KY 40299
Open in Google Maps ↗

Other Names 1

Doing Business AsKroger Pharmacy

Other Identifiers 3

Medicaid5401137400KY
Medicaid54011374KY
Other2034595Pk

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 ›

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
229 services227 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.
224 services222 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
26 services26 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
21 services21 patients
Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304
The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.
14 services14 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Kroger Pharmacy 743 carries, from the Medicare DMEPOS supplier directory.

Kroger Pharmacy 743

DMEPOS supplier · Louisville, KYOperated by Kroger Limited Partnership I
✔

Accepts Medicare assignment

Kroger Pharmacy 743 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)20595971
Medicare Participant SinceAugust 27, 2003
Supplier Location12611 Taylorsville RdLouisville, KY 40299
Phone(502) 261-7042
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 3

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

STEPHANIE MARIE DALTON PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12611 TAYLORSVILLE RD
LOUISVILLE, KY 40299
Jefferson County (502) 261-7042
WALTER BALLARD BEAVEN
Pharmacist
12611 TAYLORSVILLE RD
LOUISVILLE, KY 40299
Jefferson County (502) 261-7042
ROBERT LEE MAZZONI RPH
Pharmacist
12611 TAYLORSVILLE RD
LOUISVILLE, KY 40299
Jefferson County (502) 261-7042

Frequently Asked Questions

What is KROGER LIMITED PARTNERSHIP I's NPI number?

The NPI number assigned to this healthcare provider is 1457376154, enumerated as an "organization" on July 13, 2006.

Where is the provider located?

The provider is located at 12611 TAYLORSVILLE RD LOUISVILLE, KY 40299 and the phone number is (502) 261-7042.

What is the provider's specialty?

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

What insurance does KROGER LIMITED PARTNERSHIP I accept?

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.