Kroger Limited Partnership I
Kroger Limited Partnership I is a healthcare organization registered as Community/Retail Pharmacy in Centerville, OH, holding Type 2 (organization) NPI 1073547774 since 2006. The authorized official on file is Jessie Warman, Manager Pharmacy Licensing.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1073547774 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kroger Limited Partnership I |
| Other name | <Unavail> |
| Practice address | 1095 S MAIN ST, Centerville, OH, 45458 |
| Phone | 9374396420 |
| Fax | 9372915230 |
| Enumeration date | 2006-07-10 |
| Last updated in NPPES | 2020-02-04 |
Authorized official
| Name | Jessie Warman |
|---|---|
| Title | Manager Pharmacy Licensing |
| Phone | 5137621090 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 021043450 | OH |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2014706 | Medicaid | OH | — |
| 2074565 | Other | — | PK |
Copy-ready billing details
Provider: Kroger Limited Partnership I NPI: 1073547774 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1095 S MAIN ST, Centerville, OH, 45458
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1013083229 | Benjamin Malcolm | Individual | Family Nurse Practitioner | Centerville, OH |
| 1427235043 | John Weyrauch | Individual | Pharmacist | Centerville, OH |
| 1922562610 | Thania Knapke | Individual | Family Nurse Practitioner | Centerville, OH |
| 1194281139 | Melissa Trent | Individual | Family Nurse Practitioner | Centerville, OH |
| 1184257834 | Khaleel Ahmed | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Centerville, OH |
| 1588276166 | Patrick Sabol | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Centerville, OH |
| 1265023782 | Regina Tatman | Individual | Family Nurse Practitioner | Centerville, OH |
| 1548831134 | Jennie Snyder | Individual | Family Nurse Practitioner | Centerville, OH |
Verify this record
Cross-check NPI 1073547774 against the authoritative CMS record: view Kroger Limited Partnership I on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Kroger Limited Partnership I?
Who is the authorized official for Kroger Limited Partnership I?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-02-04.