Kroger Limited Partnership I
Kroger Limited Partnership I is a healthcare organization registered as Community/Retail Pharmacy in Memphis, TN, holding Type 2 (organization) NPI 1891729521 since 2006. The authorized official on file is Jessie Warman, Manager of Pharmacy Licensing.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1891729521 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kroger Limited Partnership I |
| Other name | <Unavail> |
| Practice address | 4264 SUMMER AVE, Memphis, TN, 38122 |
| Phone | 9017630831 |
| Fax | 9016805643 |
| Enumeration date | 2006-07-10 |
| Last updated in NPPES | 2020-03-13 |
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 | C2225 | TN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9449679 | Medicaid | TN | — |
| 2091075 | Other | — | PK |
Copy-ready billing details
Provider: Kroger Limited Partnership I NPI: 1891729521 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 4264 SUMMER AVE, Memphis, TN, 38122
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1831407469 | Lyndon Bobinger | Individual | Pharmacist | Memphis, TN |
| 1356701205 | Elizabeth Darby | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Memphis, TN |
| 1215401500 | Fred Sandefer | Individual | Pharmacist | Memphis, TN |
| 1437979325 | Tamarian Carter | Individual | Pharmacist | Memphis, TN |
Verify this record
Cross-check NPI 1891729521 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
How current is this record?
Where is Kroger Limited Partnership I located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-03-13.