OrganizationActive
Kroger Limited Partnership I
NPI 1639103401 · Community/Retail Pharmacy · Clinton, MS
Kroger Limited Partnership I is a Community/Retail Pharmacy organization in Clinton, MS (NPI 1639103401).
Provider details
- NPI number
- 1639103401
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Matt Mineer, Interface Manager(513) 387-7074
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
406 Springridge Rd
Clinton, MS 39056-4804
Phone: (601) 924-7422
Fax: (601) 924-7423
Street-level locationGet directions
Mailing address
800 Ridge Lake Blvd
Memphis, TN 38120-9427
Other names (DBA / former)
- Doing business as
- Kroger Pharmacy
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2009-06-24
Frequently asked questions
- What is Kroger Limited Partnership I's NPI number?
- Kroger Limited Partnership I's National Provider Identifier (NPI) is 1639103401, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kroger Limited Partnership I?
- Kroger Limited Partnership I is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Kroger Limited Partnership I located?
- Kroger Limited Partnership I's practice location on file with NPPES is 406 Springridge Rd, Clinton, MS 39056-4804.
- What is Kroger Limited Partnership I's phone number?
- The practice phone number listed in the NPPES registry for Kroger Limited Partnership I is (601) 924-7422.
- Who is the authorized official for Kroger Limited Partnership I?
- The authorized official listed on Kroger Limited Partnership I's NPPES record is Matt Mineer, Interface Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kroger Limited Partnership I's NPI active?
- Yes — Kroger Limited Partnership I's NPI (1639103401) is active in the NPPES registry as of the last update on 2009-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.