Active NPIOrganization

Kroger Co Of Michigan

Pharmacy, Community/Retail Pharmacy in Troy, Michigan

NPI Number1770783615
Practice location
3125 John R RD, Troy, MI 48083-5943
Fax
248-658-1705
Last updated
January 25, 2019

Kroger Co Of Michigan is a healthcare organization based in Troy, MI. Kroger Co Of Michigan practices in Troy, MI. The NPI Number for Kroger Co Of Michigan is 1770783615 and holds a License No. 5301008658 (MI). The current practice location address for Kroger Co Of Michigan is 3125 John R RD, Troy, MI 48083-5943 and can be reached out via phone at 248-658-1710 and via fax at 248-658-1705.

Provider Profile Details

NPI Number
1770783615
Provider Name
Kroger Co Of Michigan
Provider Entity Type
Organization
Address
3125 John R RD, Troy, MI 48083-5943
Phone Number
248-658-1710
Fax Number
248-658-1705
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 19, 2007
Last Update Date
January 25, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
3125 John R RD
Troy, MI 48083-5943
City
Troy
Zip
48083-5943
Phone Number
248-658-1710
Fax Number
248-658-1705
Troy, MI 48083Get 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

License Number
5301008658
License State
MI
Taxonomy
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 1770783615. It was assigned on July 19, 2007 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 5301008658.

Where does Kroger Co Of Michigan practice?

The practice location is 3125 John R RD, Troy, MI 48083-5943. The office can be reached at 248-658-1710 (phone) or 248-658-1705 (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 1770783615 directly on the NPPES registry website.

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