Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Kroger Limited Partnership I

Community/Retail Pharmacy in Clinton, MS · enumerated 2006 · authorized official Matt Mineer, Interface Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639103401

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Kroger Limited Partnership I

Other name <Unavail>

Practice address 406 Springridge Rd, Clinton, MS, 39056

Phone (601) 924-7422

Fax (601) 924-7423

Enumeration date Jul 10, 2006

Last updated in NPPES Jun 24, 2009

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

333600000X Pharmacy Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License 1559012 (MS) Primary

Authorized official

Name Matt Mineer

Title Interface Manager

Phone (513) 387-7074

Other identifiers

Identifier	Type	State	Issuer
2512502	Other	-	NCPDP PROVIDER IDENTIFICATION NUMBER
0330553	Medicaid	MS	-

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 → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-06-24. Verify at npiregistry.cms.hhs.gov.

Where is Kroger Limited Partnership I located?

The practice location on file with NPPES is in Clinton, MS.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-06-24.