Kroger Co Of Michigan
Pharmacy, Community/Retail Pharmacy in St. Clair Shores, Michigan
1154521060- Practice location
- 22801 Harper Ave, St. Clair Shores, MI 48080
- Phone
- 586-800-5190
- Fax
- 586-800-5195
- Last updated
- June 14, 2021
Kroger Co Of Michigan is a healthcare organization based in St. Clair Shores, MI. Kroger Co Of Michigan practices in St. Clair Shores, MI. The NPI Number for Kroger Co Of Michigan is 1154521060 and holds a License No. 5301008647 (MI). The current practice location address for Kroger Co Of Michigan is 22801 Harper Ave, St. Clair Shores, MI 48080 and can be reached out via phone at 586-800-5190 and via fax at 586-800-5195.
Provider Profile Details
- NPI Number
- 1154521060
- Provider Name
- Kroger Co Of Michigan
- Provider Entity Type
- Organization
- Address
- 22801 Harper Ave, St. Clair Shores, MI 48080
- Phone Number
- 586-800-5190
- Fax Number
- 586-800-5195
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Bill Shinton · Vice President Kroger Health · 513-762-1090
- Other Names
- Kroger Pharmacy #749 (Doing Business As)
- Provider Enumeration Date
- July 19, 2007
- Last Update Date
- June 14, 2021
- Certification Date
- June 14, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22801 Harper Ave
St. Clair Shores, MI 48080 - City
- St. Clair Shores
- State
- Michigan
- Zip
- 48080
- Phone Number
- 586-800-5190
- Fax Number
- 586-800-5195
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 (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- Taxonomy (2)
- Pharmacy · 333600000X
- License Number (3)
- 5301008647
- License State (3)
- MI
- Taxonomy (3)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacy, Community/Retail Pharmacy providers near St. Clair Shores, MI
View all Pharmacy, Community/Retail Pharmacy providers in St. Clair Shores →Frequently Asked Questions
What is the NPI number of Kroger Co Of Michigan?
The NPI number of Kroger Co Of Michigan is 1154521060. It was assigned on July 19, 2007 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 5301008647.
Where does Kroger Co Of Michigan practice?
The practice location is 22801 Harper Ave, St. Clair Shores, MI 48080. The office can be reached at 586-800-5190 (phone) or 586-800-5195 (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 1154521060 directly on the NPPES registry website.