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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

1669497384

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Registry record

Entity type Organization (Type 2)
Legal business name Kroger Limited Partnership I
Other name <Unavail>
Practice address 41 Stonebrook Pl, Jackson, TN, 38305
Phone (731) 661-0912
Fax (731) 661-0914
Enumeration date Jul 13, 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 C2300 (TN) Primary

Authorized official

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

Other identifiers

Identifier Type State Issuer
9449764 Medicaid TN -
2091305 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

What is the NPI number for Kroger Limited Partnership I?
The NPI for Kroger Limited Partnership I is 1669497384, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Kroger Limited Partnership I?
NPPES lists Jessie Warman (Manager of Pharmacy Licensing) as the authorized official for this organization.

Providers at this address

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