- Practice location
- 28250 Dequindre RD, Warren, MI 48092-5604
- Phone
- 586-558-2089
- Fax
- 586-558-9483
- Last updated
- January 25, 2019
Kroger Co Of Michigan is a healthcare organization based in Warren, MI. Kroger Co Of Michigan practices in Warren, MI. The NPI Number for Kroger Co Of Michigan is 1215961057 and holds a License No. 5301005685 (MI). The current practice location address for Kroger Co Of Michigan is 28250 Dequindre RD, Warren, MI 48092-5604 and can be reached out via phone at 586-558-2089 and via fax at 586-558-9483.
Provider Profile Details
- NPI Number
- 1215961057
- Provider Name
- Kroger Co Of Michigan
- Provider Entity Type
- Organization
- Address
- 28250 Dequindre RD, Warren, MI 48092-5604
- Phone Number
- 586-558-2089
- Fax Number
- 586-558-9483
- 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
- 28250 Dequindre RD
Warren, MI 48092-5604 - City
- Warren
- State
- Michigan
- Zip
- 48092-5604
- Phone Number
- 586-558-2089
- Fax Number
- 586-558-9483
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)
- 5301005685
- 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. | |||
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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 1215961057. 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 5301005685.
Where does Kroger Co Of Michigan practice?
The practice location is 28250 Dequindre RD, Warren, MI 48092-5604. The office can be reached at 586-558-2089 (phone) or 586-558-9483 (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 1215961057 directly on the NPPES registry website.