Active NPIOrganization

Kroger Co Of Michigan

Pharmacy, Community/Retail Pharmacy in Ann Arbor, Michigan

NPI Number1770517518
Practice location
2641 Plymouth RD, Ann Arbor, MI 48105-2469
Fax
734-994-0769
Last updated
January 25, 2019

Kroger Co Of Michigan is a healthcare organization based in Ann Arbor, MI. Kroger Co Of Michigan practices in Ann Arbor, MI. The NPI Number for Kroger Co Of Michigan is 1770517518 and holds a License No. 5301005545 (MI). The current practice location address for Kroger Co Of Michigan is 2641 Plymouth RD, Ann Arbor, MI 48105-2469 and can be reached out via phone at 734-994-0180 and via fax at 734-994-0769.

Provider Profile Details

NPI Number
1770517518
Provider Name
Kroger Co Of Michigan
Provider Entity Type
Organization
Address
2641 Plymouth RD, Ann Arbor, MI 48105-2469
Phone Number
734-994-0180
Fax Number
734-994-0769
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
2641 Plymouth RD
Ann Arbor, MI 48105-2469
Zip
48105-2469
Phone Number
734-994-0180
Fax Number
734-994-0769
Ann Arbor, MI 48105Get directions →

Provider Business Mailing Address Details

Address
Po Box 842772
Boston, MA 02284-2772
City
Boston
State
MA
Zip
02284-2772
Phone Number
513-762-1019
Fax Number
513-762-1092

License Information

Taxonomy (2)
Pharmacy · 333600000X
License Number (3)
5301005545
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 1770517518. 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 5301005545.

Where does Kroger Co Of Michigan practice?

The practice location is 2641 Plymouth RD, Ann Arbor, MI 48105-2469. The office can be reached at 734-994-0180 (phone) or 734-994-0769 (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 1770517518 directly on the NPPES registry website.

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