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KROGER PHARMACY
NPI 1497828016
Pharmacy - Community/Retail Pharmacy in Indianapolis, IN

Active since November 15, 2006
5615 W 38TH ST, INDIANAPOLIS, IN 46254(317) 299-6783(317) 290-6404 Get Directions Write a Review

NPPES record last updated: June 24, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kroger Pharmacy NPPES

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

KROGER PHARMACY (NPI 1497828016) is a healthcare organization registered as a community/retail pharmacy in Indianapolis, Indiana and active in the NPI registry since November 2006. The organization lists Matt Mineer, Interface Manager, as its authorized official.

NPPES Registry Identity

NPI1497828016
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER LIMITED PARTNERSHIP I
Location Address5615 W 38TH STIndianapolis, IN 46254-2921
Mailing Address5960 Castleway West DrIndianapolis, IN 46250-1977 · (317) 579-8434 · Fax (317) 579-8424
Phone(317) 299-6783
Fax(317) 290-6404
Organization SubpartNo
Authorized OfficialMatt MineerInterface Manager · (513) 387-7074
Enumeration DateNovember 15, 2006
Last NPPES UpdateJune 24, 2009
✔ NPI 1497828016 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 IN · 60005167
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
5615 W 38TH ST, Indianapolis, IN 46254
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Other Names 1

Doing Business AsKroger Pharmacy

Other Identifiers 5

Medicare PIN256660
Medicare PINP00637372
Medicaid100296920AIN
Other1520750Ncpdp Provider Identification Number
Medicare NSC1193770001

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 1497828016. It was assigned to this organization in the NPPES registry on November 15, 2006. The provider is doing business as Kroger Pharmacy.

Where is Kroger Limited Partnership I located?

Kroger Limited Partnership I is located at 5615 W 38th St, Indianapolis, IN 46254. The listed phone number is (317) 299-6783.

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.

When was this NPI record last updated?

The NPPES record for Kroger Limited Partnership I was last updated on June 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.