- Practice location
- 26130 Gratiot Ave, Roseville, MI 48066-5111
- Phone
- 586-776-8966
- Fax
- 586-776-8583
- Last updated
- January 25, 2019
Kroger Co Of Michigan is a healthcare organization based in Roseville, MI. Kroger Co Of Michigan practices in Roseville, MI. The NPI Number for Kroger Co Of Michigan is 1710911573 and holds a License No. 5301005449 (MI). The current practice location address for Kroger Co Of Michigan is 26130 Gratiot Ave, Roseville, MI 48066-5111 and can be reached out via phone at 586-776-8966 and via fax at 586-776-8583.
Provider Profile Details
- NPI Number
- 1710911573
- Provider Name
- Kroger Co Of Michigan
- Provider Entity Type
- Organization
- Address
- 26130 Gratiot Ave, Roseville, MI 48066-5111
- Phone Number
- 586-776-8966
- Fax Number
- 586-776-8583
- 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
- 26130 Gratiot Ave
Roseville, MI 48066-5111 - City
- Roseville
- State
- Michigan
- Zip
- 48066-5111
- Phone Number
- 586-776-8966
- Fax Number
- 586-776-8583
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)
- 5301005449
- 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 Roseville, MI
View all Pharmacy, Community/Retail Pharmacy providers in Roseville →Frequently Asked Questions
What is the NPI number of Kroger Co Of Michigan?
The NPI number of Kroger Co Of Michigan is 1710911573. 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 5301005449.
Where does Kroger Co Of Michigan practice?
The practice location is 26130 Gratiot Ave, Roseville, MI 48066-5111. The office can be reached at 586-776-8966 (phone) or 586-776-8583 (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 1710911573 directly on the NPPES registry website.