Kroger Co Of Michigan
Pharmacy, Community/Retail Pharmacy in Commerce Township, Michigan
1164456927- Practice location
- 47060 W Pontiac Trl, Commerce Township, MI 48390-4030
- Phone
- 248-960-8297
- Fax
- 248-960-8788
- Last updated
- January 25, 2019
Kroger Co Of Michigan is a healthcare organization based in Commerce Township, MI. Kroger Co Of Michigan practices in Commerce Township, MI. The NPI Number for Kroger Co Of Michigan is 1164456927 and holds a License No. 5301006233 (MI). The current practice location address for Kroger Co Of Michigan is 47060 W Pontiac Trl, Commerce Township, MI 48390-4030 and can be reached out via phone at 248-960-8297 and via fax at 248-960-8788.
Provider Profile Details
- NPI Number
- 1164456927
- Provider Name
- Kroger Co Of Michigan
- Provider Entity Type
- Organization
- Address
- 47060 W Pontiac Trl, Commerce Township, MI 48390-4030
- Phone Number
- 248-960-8297
- Fax Number
- 248-960-8788
- 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
- 47060 W Pontiac Trl
Commerce Township, MI 48390-4030 - State
- Michigan
- Zip
- 48390-4030
- Phone Number
- 248-960-8297
- Fax Number
- 248-960-8788
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)
- Pharmacy · 333600000X
- Taxonomy (2)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- License Number (3)
- 5301006233
- 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 Commerce Township, MI
View all Pharmacy, Community/Retail Pharmacy providers in Commerce Township →- Kroger Co Of MichiganPharmacy, Community/Retail Pharmacy · NPI 1205860053
- Kroger Co Of MichiganPharmacy, Community/Retail Pharmacy · NPI 1861824583
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- Marisa M AuernhamerSpeech-Language Pathologist, · NPI 1134726144
Frequently Asked Questions
What is the NPI number of Kroger Co Of Michigan?
The NPI number of Kroger Co Of Michigan is 1164456927. 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 5301006233.
Where does Kroger Co Of Michigan practice?
The practice location is 47060 W Pontiac Trl, Commerce Township, MI 48390-4030. The office can be reached at 248-960-8297 (phone) or 248-960-8788 (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 1164456927 directly on the NPPES registry website.