Active NPIOrganization

Kroger Co Of Michigan

Pharmacy, Community/Retail Pharmacy in Orion, Michigan

NPI Number1689608457
Practice location
3097 S Baldwin RD, Orion, MI 48359-1028
Fax
248-393-4583
Last updated
June 20, 2019

Kroger Co Of Michigan is a healthcare organization based in Orion, MI. Kroger Co Of Michigan practices in Orion, MI. The NPI Number for Kroger Co Of Michigan is 1689608457 and holds a License No. 5301007534 (MI). The current practice location address for Kroger Co Of Michigan is 3097 S Baldwin RD, Orion, MI 48359-1028 and can be reached out via phone at 248-393-4573 and via fax at 248-393-4583.

Provider Profile Details

NPI Number
1689608457
Provider Name
Kroger Co Of Michigan
Provider Entity Type
Organization
Address
3097 S Baldwin RD, Orion, MI 48359-1028
Phone Number
248-393-4573
Fax Number
248-393-4583
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
June 20, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
3097 S Baldwin RD
Orion, MI 48359-1028
City
Orion
Zip
48359-1028
Phone Number
248-393-4573
Fax Number
248-393-4583
Orion, MI 48359Get directions →

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 (2)
Pharmacy · 333600000X
License Number (3)
5301007534
License State (3)
MI
Taxonomy (3)
Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 1689608457. 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 5301007534.

Where does Kroger Co Of Michigan practice?

The practice location is 3097 S Baldwin RD, Orion, MI 48359-1028. The office can be reached at 248-393-4573 (phone) or 248-393-4583 (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 1689608457 directly on the NPPES registry website.

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