Kroger Limited Partnership I is not a DME supplier for medicare equipments and products.
Kroger Limited Partnership I is a Community/Retail Pharmacy in Angola, Indiana. It is located at 1801 N Wayne St, Angola and it's customer support contact number is 260-624-3110. The authorized person of Kroger Limited Partnership I is Matt Mineer, CPHT who is Interface Manager of the pharmacy and his contact number is 513-387-7074. Active license number of Kroger Limited Partnership I is 60006074A for Community/Retail Pharmacy in Indiana. 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:
1801 N Wayne St, Angola, Indiana, 46703-2360
Phone:
260-624-3110
Fax:
260-624-3920
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:
Matt Mineer
Credentials:
CPHT
Position:
Interface Manager
Contact Number:
513-387-7074
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:
1831393354
NPI Enumeration Date:
11 Jun, 2007
NPI Last Update On:
24 Jun, 2009
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
60006074A
Indiana
Primary
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
200866230A
Medicaid
Indiana
1561530
Other
Ncpdp Provider Identification Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5960 Castleway West Dr, Indianapolis, Indiana
Zip:
46250-1977
Phone Number:
317-579-8434
Fax Number:
317-579-8424
Patients can reach Kroger Limited Partnership I at 1801 N Wayne St, Angola, Indiana or can call on customer care at 260-624-3110.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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