NPI

Kroger Limited Partnership I

Doing business as Jay C Pharmacy #008. NPI 1487175493

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2017-06-29
Last updated
2017-06-29

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
4290 W Jonathan Moore Pike
City
Columbus IN
Postal code
47201-9585
Phone
(812) 267-5511

Organization contact

Name
Allison Bredestege
Title
Manager of Pharmacy Licensing
Phone
(513) 762-1019

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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