KROGER CO OF MICHIGAN (NPI# 1346791183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346791183 |
Entity Type | Organization |
Organization Name | KROGER CO OF MICHIGAN |
Other Organization Name | KROGER PHARMACY #754 |
Practice Address |
7644 26 Mile Rd Shelby Township MI 48316-5007 |
Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
Practice Telephone | 5866978240 |
Practice Fax Number | 5866978242 |
Mailing Telephone | 5137621019 |
Enumeration Date | 2016-10-17 |
Last Update Date | 2017-01-20 |
Authorized Official Name | ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING) |
Authorized Official Telephone | 5137621263 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2166098 | 01 | |
MI | 1346791183 | 05 |
Other Name | Type Code |
---|---|
Kroger Pharmacy #754 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699395459 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 25940 Greenfield Rd, Oak Park, MI 48237 | 2020-04-22 |
1750837670 | Kroger Co of Michigan | Pharmacy | 2200 E 12 Mile Rd, Royal Oak, MI 48067-1504 | 2016-08-31 |
1013386986 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 20891 E 13 Mile Rd, Roseville, MI 48066-4530 | 2015-09-21 |
1629450978 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 425 N Center St, Northville, MI 48167-1263 | 2015-06-23 |
1912328170 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 14945 23 Mile Rd, Shelby Township, MI 48315-3009 | 2013-12-13 |
1861824583 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 2905 Union Lake Rd, Commerce Township, MI 48382-3565 | 2013-08-05 |
1942434287 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 23191 Marter Rd, Saint Clair Shores, MI 48080-2717 | 2009-05-14 |
1720220197 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 16450 26 Mile Rd, Macomb, MI 48042-1056 | 2009-04-01 |
1154576635 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 4672 State St, Saginaw, MI 48603-3805 | 2008-11-25 |
1457551384 | Kroger Co of Michigan | Pharmacy | 64660 Van Dyke Rd, Washington, MI 48095-2853 | 2007-07-19 |
Street Address |
7644 26 MILE RD |
City | SHELBY TOWNSHIP |
State | MI |
Zip Code | 48316-5007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861030801 | Susan Lynne Findley | Pharmacist | 7644 26 Mile Rd, Shelby Township, MI 48316-5007 | 2019-12-19 |
1578100368 | Kimberly Hamilton | Pharmacist | 7644 26 Mile Rd, Shelby Township, MI 48316-5007 | 2019-11-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679183552 | Jeffrey T Baker Dds PC | Dentist | 8152 25 Mile Rd Ste C, Shelby Twp, MI 48316 | 2020-08-05 |
1811459993 | Aspire Psychological Associates LLC | Psychologist | 53200 Van Dyke Ave, Suite 100, Shelby Twp, MI 48316 | 2019-04-05 |
1619445798 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 7542 26 Mile Road, Shelby, MI 48316 | 2018-11-07 |
1962929117 | Rosni Nair | Nurse Practitioner | 51562 Merry Lane, Shelby Twp, MI 48316 | 2017-08-28 |
1548797251 | Susan Dipple | Occupational Therapist | 2041 Crystal Lake Ct S Apt T-376, Shelby Township, MI 48316 | 2017-05-12 |
1396295101 | Nikkolas Lawrence Chronis | Pharmacist | 7609 Hartwick, Shelby Twp, MI 48316 | 2016-10-05 |
1871976373 | Michelle Lynn Maltese | Dentist | 4147 24 Mile Rd, Shelby Twp, MI 48316 | 2015-07-01 |
1750768222 | Michael Justin Ramar | Chiropractor | 2061 25 Mile Rd, Shelby Township, MI 48316 | 2015-05-04 |
1215362454 | Aa Transportation Group, LLC | Non-emergency Medical Transport (VAN) | 56516 Ashbrooke Dr W, Shelby Twp, MI 48316 | 2013-09-06 |
1932400348 | Rea Counseling Services, PC | Community/Behavioral Health | 51539 Van Dyke Ave, Shelby Twp, MI 48316 | 2010-11-16 |
Find all providers in zip 48316 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699208538 | Rt-care, LLC | Pharmacy | 14202 Lakeside Blvd N Ste A, Shelby Township, MI 48315-6073 | 2017-04-07 |
1144524034 | Shelby Creek Pharmacy LLC | Pharmacy | 8180 26 Mile Rd Ste 103, Shelby Township, MI 48316-5129 | 2011-01-06 |
1407956840 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 53069 Van Dyke, Shelby Township, MI 48316 | 2006-09-25 |
1871698266 | Krish Pharmacy Inc | Pharmacy | 50505 Schoenherr Rd Ste 130, Ste 130, Shelby Township, MI 48315-3140 | 2006-09-13 |
1891897179 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 50840 Shelby Rd, Shelby Township, MI 48317-1252 | 2006-09-05 |
1982706271 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 13500 22 Mile Rd, Shelby Township, MI 48315-4294 | 2006-09-05 |
1881706737 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 2115 25 Mile Rd, Shelby Township, MI 48316-1097 | 2006-08-31 |
1083726939 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 15121 24 Mile Rd, Shelby Township, MI 48315-2109 | 2006-08-31 |
1487764007 | Costco Wholesale Corporation | Pharmacy | 45460 Market St, Shelby Township, MI 48315 | 2006-08-30 |
1770050759 | Zakaria LLC | Pharmacy | 54770 Mound Rd, Shelby Township, MI 48316-1706 | 2018-10-29 |
Find all providers in SHELBY TOWNSHIP |
City | SHELBY TOWNSHIP |
Zip Code | 48316 |
Please comment or provide details below to improve the information on KROGER CO OF MICHIGAN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.