Kroger Limited Partnership I
Community/Retail Pharmacy
310 W North St, Kendallville
Indiana, 46755-1004
260-347-9177 260-347-9125
Kroger Limited Partnership I is a Community/Retail Pharmacy in Kendallville, Indiana. It is located at 310 W North St, Kendallville and it's customer support contact number is 260-347-9177. The authorized person of Kroger Limited Partnership I is Jessie Warman who is Manager Rx Licensing of the pharmacy and his contact number is 513-762-1019. Active license number of Kroger Limited Partnership I is 60006490A for Community/Retail Pharmacy in Indiana. 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: | 310 W North St, Kendallville,
Indiana, 46755-1004 |
| Phone: | 260-347-9177 |
| Fax: | 260-347-9125 |
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 Rx Licensing |
| Contact Number: | 513-762-1019 |
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: | 1629464524 |
| NPI Enumeration Date: | 08 Apr, 2015 |
| NPI Last Update On: | 22 Apr, 2025 |
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 | 60006490A | Indiana | Primary | |
| Durable Medical Equipment & Medical Supplies | | | 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 |
| 201328840A | Medicaid | Indiana | |
| 2151268 | Other | | Pk |
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 | O20150914002751 | 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: 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
310 W North St, Kendallville, Indiana or can
call on customer care at 260-347-9177.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.