Kroger Pharmacy is not a DME supplier for medicare equipments and products.
Kroger Pharmacy is a Community/Retail Pharmacy in Vicksburg, Mississippi. This pharmacy is owned and operated by Kroger Limited Partnership I. It is located at 3405 Pemberton Square Blvd, Vicksburg and it's customer support contact number is 601-638-3412. The authorized person of Kroger Pharmacy is Matt Mineer who is Interface Manager of the pharmacy and his contact number is 513-387-7074. Active license number of Kroger Pharmacy is 1957012 for Community/Retail Pharmacy in Mississippi. Kroger Pharmacy 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 Pharmacy 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.
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
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:
1093749871
NPI Enumeration Date:
10 Jul, 2006
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 Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
1957012
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
0330556
Medicaid
Mississippi
2514873
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:
800 Ridge Lake Blvd, Memphis, Tennessee
Zip:
38120-9427
Phone Number:
901-765-4157
Fax Number:
901-765-4213
Patients can reach Kroger Pharmacy at 3405 Pemberton Square Blvd, Vicksburg, Mississippi or can call on customer care at 601-638-3412.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Other Pharmacies in Vicksburg, Mississippi
United Medical Address: 2480 S Frontage Rd, Ste F, Vicksburg, MS Phone: 601-636-0505 Fax: 601-636-9996Kroger Pharmacy Address: 3408 Pemberton Square Blvd, Vicksburg, MS Phone: 601-630-4003 Fax: 601-630-4004Walgreens #17030 Address: 2310 Clay St, Vicksburg, MS Phone: 601-661-5856 Fax: 601-661-0645Rite Aid Address: 3046 Indiana Ave, Vicksburg, MS Phone: 217-709-2386 Walgreens #09402 Address: 3341 Halls Ferry Rd, Vicksburg, MS Phone: 601-661-9340