Kroger Limited Partnership I
Community/Retail Pharmacy
602 N Davis Ave, Cleveland
Mississippi, 38732-2356
662-843-0835 662-843-4216
Kroger Limited Partnership I is a Community/Retail Pharmacy in Cleveland, Mississippi. It is located at 602 N Davis Ave, Cleveland and it's customer support contact number is 662-843-0835. The authorized person of Kroger Limited Partnership I is Jessie Warman who is Manager Of Pharmacy Licensing of the pharmacy and his contact number is 513-762-1090. Active license number of Kroger Limited Partnership I is 1901012 for Community/Retail Pharmacy in Mississippi. Kroger Limited Partnership I accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Kroger Limited Partnership I is 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.
Pharmacy Details:
Kroger Limited Partnership I type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Kroger Limited Partnership I |
| Type: | Community/Retail Pharmacy |
| Location: | 602 N Davis Ave, Cleveland,
Mississippi, 38732-2356 |
| Phone: | 662-843-0835 |
| Fax: | 662-843-4216 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jessie Warman |
| Position: | Manager Of Pharmacy Licensing |
| Contact Number: | 513-762-1090 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1538193313 |
| NPI Enumeration Date: | 10 Jul, 2006 |
| NPI Last Update On: | 13 Mar, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kroger Limited Partnership I are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 1901012 | Mississippi | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2044914 | Other | | Pk |
| 00330544 | Medicaid | Mississippi | |
Medicare Enrollment:
Kroger Limited Partnership I is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 8224930136 | O20100930087609 | Kroger Limited Partnership I | DME SUPPLIER - PHARMACY |
Products Available:
Kroger Limited Partnership I has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Mail Order | • Blood Glucose Monitors & Supplies: Non-mail Order |
| • Canes & Crutches | • Commodes, Urinals, & Bedpans |
| • Enteral Equipment And/or Supplies | • Enteral Nutrients |
| • Nebulizer Equipment & Supplies | • Ostomy Supplies |
| • Surgical Dressings | • Urological Supplies |
| • Walkers | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 842772,
Boston, Massachusetts |
| Zip: | 02284-2772 |
| Phone Number: | 513-762-1019 |
| Fax Number: | 513-762-1092 |
Patients can reach Kroger Limited Partnership I at
602 N Davis Ave, Cleveland, Mississippi or can
call on customer care at 662-843-0835.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.