- Practice location
- 700 N State RD, Davison, MI 48423-1130
- Phone
- 810-658-8051
- Fax
- 810-654-0149
- Last updated
- April 22, 2025
Kroger Co Of Michigan is a healthcare organization based in Davison, MI. Kroger Co Of Michigan practices in Davison, MI. The NPI Number for Kroger Co Of Michigan is 1720012594 and holds a License No. 5301008260 (MI). The current practice location address for Kroger Co Of Michigan is 700 N State RD, Davison, MI 48423-1130 and can be reached out via phone at 810-658-8051 and via fax at 810-654-0149.
Provider Profile Details
- NPI Number
- 1720012594
- Provider Name
- Kroger Co Of Michigan
- Provider Entity Type
- Organization
- Address
- 700 N State RD, Davison, MI 48423-1130
- Phone Number
- 810-658-8051
- Fax Number
- 810-654-0149
- 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
- April 22, 2025
- Certification Date
- April 22, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 700 N State RD
Davison, MI 48423-1130 - City
- Davison
- State
- Michigan
- Zip
- 48423-1130
- Phone Number
- 810-658-8051
- Fax Number
- 810-654-0149
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)
- 5301008260
- 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 Davison, MI
View all Pharmacy, Community/Retail Pharmacy providers in Davison →Frequently Asked Questions
What is the NPI number of Kroger Co Of Michigan?
The NPI number of Kroger Co Of Michigan is 1720012594. 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 5301008260.
Where does Kroger Co Of Michigan practice?
The practice location is 700 N State RD, Davison, MI 48423-1130. The office can be reached at 810-658-8051 (phone) or 810-654-0149 (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 1720012594 directly on the NPPES registry website.