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KROGER PHARMACY #777
NPI 1639540594
Pharmacy - Community/Retail Pharmacy in Blytheville, AR

Active since October 16, 2015
523 N 6TH ST, BLYTHEVILLE, AR 72315(870) 762-2024(870) 763-3240 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 16, 2016, Feb 1, 2016, Dec 3, 2015 (3 updates tracked since 2015).

About Kroger Pharmacy #777 NPPES

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

KROGER PHARMACY #777 (NPI 1639540594) is a healthcare organization registered as a community/retail pharmacy in Blytheville, Arkansas and active in the NPI registry since October 2015. The organization lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1639540594
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER LIMITED PARTNERSHIP I
Location Address523 N 6TH STBlytheville, AR 72315-2407
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(870) 762-2024
Fax(870) 763-3240
Organization SubpartNo
Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateOctober 16, 2015
Last NPPES UpdateMay 16, 20163 updates tracked since enumeration
✔ NPI 1639540594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in AR · AR00856
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
523 N 6TH ST, Blytheville, AR 72315
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Other Names 1

Doing Business AsKroger Pharmacy #777

Other Identifiers 3

Medicare NSC1193770763
Other2154712Pk
Medicare PIN10609

Other Providers at the Same Location NPPES

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

BARNEYS INC
Pharmacy (Community/Retail Pharmacy)
523 N 6TH ST
BLYTHEVILLE, AR 72315
Mississippi County (870) 762-2024

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 1639540594. It was assigned to this organization in the NPPES registry on October 16, 2015. The provider is doing business as Kroger Pharmacy #777.

Where is Kroger Limited Partnership I located?

Kroger Limited Partnership I is located at 523 N 6th St, Blytheville, AR 72315. The listed phone number is (870) 762-2024.

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 May 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.