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Kroger Limited Partnership I

Community/Retail Pharmacy in Fort Wayne, IN · enumerated 2007 · authorized official Matt Mineer, Interface Manager.

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

National Provider Identifier

1659576395

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Kroger Limited Partnership I
Other name <Unavail>
Practice address 5300 Decatur Rd, Fort Wayne, IN, 46806
Fax (260) 458-9302
Enumeration date Jun 20, 2007
Last updated in NPPES Jun 24, 2009

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 60006086A (IN) Primary

Authorized official

Name Matt Mineer
Title Interface Manager

Other identifiers

Identifier Type State Issuer
1561542 Other - NCPDP PROVIDER IDENTIFICATION NUMBER
200872420A Medicaid IN -

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 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 Fort Wayne, IN.

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