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KROGER PHARMACY J-888
NPI 1871666495
Pharmacy - Community/Retail Pharmacy in Taylorville, IL

Active since November 15, 2006
201 E BIDWELL ST, TAYLORVILLE, IL 62568(217) 287-7391(217) 287-7440 Get Directions Write a Review

NPPES record last updated: December 14, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kroger Pharmacy J-888 NPPES

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

KROGER PHARMACY J-888 (NPI 1871666495) is a healthcare organization registered as a community/retail pharmacy in Taylorville, Illinois and active in the NPI registry since November 2006. The organization lists Matt Mineer, Interface Manager, as its authorized official.

NPPES Registry Identity

NPI1871666495
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER LIMITED PARTNERSHIP I
Location Address201 E BIDWELL STTaylorville, IL 62568-1361
Mailing Address5960 Castleway West DrIndianapolis, IN 46250-1977 · (317) 579-8434 · Fax (317) 579-8424
Phone(217) 287-7391
Fax(217) 287-7440
Organization SubpartNo
Authorized OfficialMatt MineerInterface Manager · (513) 387-7074
Enumeration DateNovember 15, 2006
Last NPPES UpdateDecember 14, 2009
✔ NPI 1871666495 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 IL · 054015081
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
201 E BIDWELL ST, Taylorville, IL 62568
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Other Names 1

Doing Business AsKroger Pharmacy J-888

Other Identifiers 5

Medicaid=========888IL
Medicare PINP00637372
Other1476452Ncpdp Provider Identification Number
Medicare NSC1193770615
Medicare PIN256660

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 1871666495. It was assigned to this organization in the NPPES registry on November 15, 2006. The provider is doing business as Kroger Pharmacy J-888.

Where is Kroger Limited Partnership I located?

Kroger Limited Partnership I is located at 201 E Bidwell St, Taylorville, IL 62568. The listed phone number is (217) 287-7391.

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 December 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.