Kroger Co Of Michigan
Pharmacy, Community/Retail Pharmacy in South Lyon, Michigan
1467486217- Practice location
- 20730 Pontiac Trl, South Lyon, MI 48178-9486
- Phone
- 248-486-9182
- Fax
- 248-486-9127
- Last updated
- January 16, 2019
Kroger Co Of Michigan is a healthcare organization based in South Lyon, MI. Kroger Co Of Michigan practices in South Lyon, MI. The NPI Number for Kroger Co Of Michigan is 1467486217 and holds a License No. 5301007226 (MI). The current practice location address for Kroger Co Of Michigan is 20730 Pontiac Trl, South Lyon, MI 48178-9486 and can be reached out via phone at 248-486-9182 and via fax at 248-486-9127.
Provider Profile Details
- NPI Number
- 1467486217
- Provider Name
- Kroger Co Of Michigan
- Provider Entity Type
- Organization
- Address
- 20730 Pontiac Trl, South Lyon, MI 48178-9486
- Phone Number
- 248-486-9182
- Fax Number
- 248-486-9127
- 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
- 20730 Pontiac Trl
South Lyon, MI 48178-9486 - City
- South Lyon
- State
- Michigan
- Zip
- 48178-9486
- Phone Number
- 248-486-9182
- Fax Number
- 248-486-9127
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)
- 5301007226
- 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 South Lyon, MI
View all Pharmacy, Community/Retail Pharmacy providers in South Lyon →Frequently Asked Questions
What is the NPI number of Kroger Co Of Michigan?
The NPI number of Kroger Co Of Michigan is 1467486217. 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 5301007226.
Where does Kroger Co Of Michigan practice?
The practice location is 20730 Pontiac Trl, South Lyon, MI 48178-9486. The office can be reached at 248-486-9182 (phone) or 248-486-9127 (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 1467486217 directly on the NPPES registry website.