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SCOTTS PHARMACY J417
NPI 1831393354
Pharmacy - Community/Retail Pharmacy in Angola, IN

Active since June 11, 2007
1801 N WAYNE ST, ANGOLA, IN 46703(260) 624-3110(260) 624-3920 Get Directions Write a Review

NPPES record last updated: June 24, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scotts Pharmacy J417 NPPES

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

SCOTTS PHARMACY J417 (NPI 1831393354) is a healthcare organization registered as a community/retail pharmacy in Angola, Indiana and active in the NPI registry since June 2007. The organization lists Matt Mineer, Interface Manager, as its authorized official.

NPPES Registry Identity

NPI1831393354
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER LIMITED PARTNERSHIP I
Location Address1801 N WAYNE STAngola, IN 46703-2360
Mailing Address5960 Castleway West DrIndianapolis, IN 46250-1977 · (317) 579-8434 · Fax (317) 579-8424
Phone(260) 624-3110
Fax(260) 624-3920
Organization SubpartNo
Authorized OfficialMatt MineerInterface Manager · (513) 387-7074
Enumeration DateJune 11, 2007
Last NPPES UpdateJune 24, 2009
✔ NPI 1831393354 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 · 60006074A
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.
1801 N WAYNE ST, Angola, IN 46703
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Other Names 1

Doing Business AsScotts Pharmacy J417

Other Identifiers 5

Other1561530Ncpdp Provider Identification Number
Medicare PINP00637372
Medicaid200866230AIN
Medicare NSC1193770682
Medicare PIN256660

Other Providers at the Same Location NPPES

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

GREGORY L FOLCK RPH
Pharmacist
1801 N WAYNE ST
ANGOLA, IN 46703
Steuben County (260) 624-3110

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 1831393354. It was assigned to this organization in the NPPES registry on June 11, 2007. The provider is doing business as Scotts Pharmacy J417.

Where is Kroger Limited Partnership I located?

Kroger Limited Partnership I is located at 1801 N Wayne St, Angola, IN 46703. The listed phone number is (260) 624-3110.

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.