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SCOTTS PHARMACY J 404
NPI 1659576395
Pharmacy - Community/Retail Pharmacy in Fort Wayne, IN

Active since June 20, 2007
5300 DECATUR RD, FORT WAYNE, IN 46806(260) 458-0840(260) 458-9302 Get Directions Write a Review

NPPES record last updated: June 24, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Scotts Pharmacy J 404 NPPES

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

SCOTTS PHARMACY J 404 (NPI 1659576395) is a healthcare organization registered as a community/retail pharmacy in Fort Wayne, Indiana and active in the NPI registry since June 2007. The organization lists Matt Mineer, Interface Manager, as its authorized official.

NPPES Registry Identity

NPI1659576395
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER LIMITED PARTNERSHIP I
Location Address5300 DECATUR RDFort Wayne, IN 46806-3058
Mailing Address5960 Castleway West DrIndianapolis, IN 46250-1977 · (317) 579-8434 · Fax (317) 579-8424
Phone(260) 458-0840
Fax(260) 458-9302
Organization SubpartNo
Authorized OfficialMatt MineerInterface Manager · (513) 387-7074
Enumeration DateJune 20, 2007
Last NPPES UpdateJune 24, 2009
✔ NPI 1659576395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in IN · 60006086A
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.
5300 DECATUR RD, Fort Wayne, IN 46806
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Other Names 1

Doing Business AsScotts Pharmacy J 404

Other Identifiers 5

Other1561542Ncpdp Provider Identification Number
Medicare PINP00637372
Medicaid200872420AIN
Medicare NSC1193770678
Medicare PIN256660

Medical Equipment Supplier Medicare DMEPOS 14

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

Kroger Pharmacy

DMEPOS supplier · Fort Wayne, INOperated by Kroger Limited Partnership I
✔

Accepts Medicare assignment

Kroger Pharmacy 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)20598899
Medicare Participant SinceAugust 27, 2003
Supplier Location218 East PettitFort Wayne, IN 46806
Phone(260) 456-4736
Supplier Specialties
Pharmacy Grocery Store

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.

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 1659576395. It was assigned to this organization in the NPPES registry on June 20, 2007. The provider is doing business as Scotts Pharmacy J 404.

Where is Kroger Limited Partnership I located?

Kroger Limited Partnership I is located at 5300 Decatur Rd, Fort Wayne, IN 46806. The listed phone number is (260) 458-0840.

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 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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.