- Practice location
- 23303 Michigan Ave, Dearborn, MI 48124-2029
- Phone
- 313-562-2232
- Fax
- 313-562-2317
- Last updated
- January 16, 2019
Kroger Co Of Michigan is a healthcare organization based in Dearborn, MI. Kroger Co Of Michigan practices in Dearborn, MI. The NPI Number for Kroger Co Of Michigan is 1265466015 and holds a License No. 5301007371 (MI). The current practice location address for Kroger Co Of Michigan is 23303 Michigan Ave, Dearborn, MI 48124-2029 and can be reached out via phone at 313-562-2232 and via fax at 313-562-2317.
Provider Profile Details
- NPI Number
- 1265466015
- Provider Name
- Kroger Co Of Michigan
- Provider Entity Type
- Organization
- Address
- 23303 Michigan Ave, Dearborn, MI 48124-2029
- Phone Number
- 313-562-2232
- Fax Number
- 313-562-2317
- 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 16, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 23303 Michigan Ave
Dearborn, MI 48124-2029 - City
- Dearborn
- State
- Michigan
- Zip
- 48124-2029
- Phone Number
- 313-562-2232
- Fax Number
- 313-562-2317
Provider Business Mailing Address Details
- Address
- Po Box 842772
Boston, MA 02284-2772 - City
- Boston
- State
- MA
- Zip
- 02284-2772
- Phone Number
- 513-762-1090
License Information
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- Taxonomy (2)
- Pharmacy · 333600000X
- License Number (3)
- 5301007371
- 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 1265466015. 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 5301007371.
Where does Kroger Co Of Michigan practice?
The practice location is 23303 Michigan Ave, Dearborn, MI 48124-2029. The office can be reached at 313-562-2232 (phone) or 313-562-2317 (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 1265466015 directly on the NPPES registry website.