Kroger Limited Partnership I
Community/Retail Pharmacy
1801 N Wayne St, Angola
Indiana, 46703-2360
260-624-3110 260-624-3920
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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.