Kroger Pharmacy

Community/Retail Pharmacy Accepts Medicare


  
  3408 Pemberton Square Blvd, Vicksburg
Mississippi, 39180-5573

 601-630-4003    601-630-4004
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 3408 Pemberton Square Blvd, Vicksburg and it's customer support contact number is 601-630-4003. The authorized person of Kroger Pharmacy 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 Pharmacy is 07832 for Community/Retail Pharmacy in Mississippi. Kroger Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
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.
Name: Kroger Pharmacy
Type: Community/Retail Pharmacy
Location:3408 Pemberton Square Blvd, Vicksburg,
Mississippi, 39180-5573
Phone:601-630-4003
Fax:601-630-4004
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: 1164670063
NPI Enumeration Date: 04 Sep, 2008
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 Pharmacy are as mentioned below.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy 07832MississippiPrimary
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.
IdentifierTypeStateIssuer
2116834OtherPk
04875396MedicaidMississippi
Medicare Enrollment:
Kroger Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
8224930136O20100930055528Kroger Limited Partnership IDME SUPPLIER - PHARMACY
Products Available:
Kroger Pharmacy 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 Pharmacy at 3408 Pemberton Square Blvd, Vicksburg, Mississippi or can call on customer care at 601-630-4003.

    Comments/ Reviews:


    *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.

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