Kroger Limited Partnership I
Kroger Limited Partnership I is a healthcare organization registered as Community/Retail Pharmacy in Jackson, MS, holding Type 2 (organization) NPI 1295769073 since 2006. The authorized official on file is Jessie Warman, Manager of Pharmacy Licensing.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1295769073 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kroger Limited Partnership I |
| Other name | <Unavail> |
| Practice address | 4910 I 55 N, Jackson, MS, 39211 |
| Phone | 6013666554 |
| Fax | 6019878382 |
| Enumeration date | 2006-07-10 |
| Last updated in NPPES | 2025-04-22 |
Authorized official
| Name | Jessie Warman |
|---|---|
| Title | Manager of 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 | 3093012 | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2045474 | Other | — | PK |
| 00330205 | Medicaid | MS | — |
Copy-ready billing details
Provider: Kroger Limited Partnership I NPI: 1295769073 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 4910 I 55 N, Jackson, MS, 39211
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1215121553 | Beth Wattigny | Individual | Pharmacist | Jackson, MS |
| 1932747342 | Blake Williams | Individual | Pharmacist | Jackson, MS |
| 1033729918 | Ashley Williams | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Jackson, MS |
| 1831840420 | Wallace Mclaurin | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Jackson, MS |
| 1932822251 | Michaela Nowell | Individual | Pharmacist | Jackson, MS |
| 1114709862 | Jada Harris | Individual | Pharmacist | Jackson, MS |
Verify this record
Cross-check NPI 1295769073 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 type of organization is Kroger Limited Partnership I?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-04-22.