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Kroger Limited Partnership I

Community/Retail Pharmacy in Jackson, TN · enumerated 2006 · authorized official Jessie Warman, Manager of Pharmacy Licensing.

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

National Provider Identifier

1649204371

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Registry record

Entity type Organization (Type 2)
Legal business name Kroger Limited Partnership I
Other name <Unavail>
Practice address 941 N Parkway, Jackson, TN, 38305
Phone (731) 423-4904
Fax (731) 423-4914
Enumeration date Jul 10, 2006
Last updated in NPPES Mar 13, 2020

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License C1700 (TN) Primary

Authorized official

Name Jessie Warman
Title Manager of Pharmacy Licensing
Phone (513) 762-1090

Other identifiers

Identifier Type State Issuer
4422402 Medicaid TN -
2089975 Other - PK

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.

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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 2020-03-13. Verify at npiregistry.cms.hhs.gov.
Where is Kroger Limited Partnership I located?
The practice location on file with NPPES is in Jackson, TN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-03-13.