Active NPIOrganization

Kroger Co Of Michigan

Pharmacy, Community/Retail Pharmacy in Flint, Michigan

NPI Number1104850973
Practice location
3838 Richfield RD, Flint, MI 48506-2616
Fax
810-736-9407
Last updated
January 25, 2019

Kroger Co Of Michigan is a healthcare organization based in Flint, MI. Kroger Co Of Michigan practices in Flint, MI. The NPI Number for Kroger Co Of Michigan is 1104850973 and holds a License No. 5301007689 (MI). The current practice location address for Kroger Co Of Michigan is 3838 Richfield RD, Flint, MI 48506-2616 and can be reached out via phone at 810-736-9913 and via fax at 810-736-9407.

Provider Profile Details

NPI Number
1104850973
Provider Name
Kroger Co Of Michigan
Provider Entity Type
Organization
Address
3838 Richfield RD, Flint, MI 48506-2616
Phone Number
810-736-9913
Fax Number
810-736-9407
Primary Taxonomy
Pharmacy, Community/Retail Pharmacy · 3336C0003X
Organization Subpart
No
Authorized Official
Jessie Warman · Manager Rx Licensing · 513-762-1090
Other Names
Kroger Pharmacy (Doing Business As)
Provider Enumeration Date
July 10, 2006
Last Update Date
January 25, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
3838 Richfield RD
Flint, MI 48506-2616
City
Flint
Zip
48506-2616
Phone Number
810-736-9913
Fax Number
810-736-9407
Flint, MI 48506Get directions →

Provider Business Mailing Address Details

Address
Po Box 842772
Boston, MA 02284-2772
City
Boston
State
MA
Zip
02284-2772
Phone Number
513-762-1019
Fax Number
513-762-1092

License Information

Taxonomy (2)
Pharmacy · 333600000X
License Number (3)
5301007689
License State (3)
MI
Taxonomy (3)
Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kroger Co Of Michigan?

The NPI number of Kroger Co Of Michigan is 1104850973. It was assigned on July 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Kroger Co Of Michigan?

Kroger Co Of Michigan is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in MI under license number 5301007689.

Where does Kroger Co Of Michigan practice?

The practice location is 3838 Richfield RD, Flint, MI 48506-2616. The office can be reached at 810-736-9913 (phone) or 810-736-9407 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104850973 directly on the NPPES registry website.

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