KROGER CO OF MICHIGAN (NPI# 1679773675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679773675 |
| Entity Type | Organization |
| Organization Name | KROGER CO OF MICHIGAN |
| Other Organization Name | KROGER PHARMACY |
| Practice Address |
26400 Ford Rd Dearborn Heights MI 48127-2894 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 3138273716 |
| Practice Fax Number | 3138273718 |
| Mailing Telephone | 5137621019 |
| Mailing Fax Number | 5137621092 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2019-01-25 |
| Authorized Official Name | JESSIE WARMAN (MANAGER RX LICENSING) |
| Authorized Official Telephone | 5137621090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301008643 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2042695 | 01 | |
| MI | 2369951 | 05 |
| Other Name | Type Code |
|---|---|
| KROGER PHARMACY | 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 |
| 1346791183 | Kroger Co of Michigan | Pharmacy | 7644 26 Mile Rd, Shelby Township, MI 48316-5007 | 2016-10-17 |
| 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 |
| Street Address |
26400 FORD RD |
| City | DEARBORN HEIGHTS |
| State | MI |
| Zip Code | 48127-2894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104841766 | Bormans Inc | Pharmacy | 26400 Ford Rd, Dearborn Heights, MI 48127-2884 | 2006-07-13 |
| 1922644111 | James Alexander Barclay | Pharmacy | 26400 Ford Rd, Dearborn Heights, MI 48127-2894 | 2019-11-21 |
| 1508324492 | Farah Mowia Louzon | Pharmacist | 26400 Ford Rd, Dearborn Heights, MI 48127 | 2019-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952945842 | Lashay Donnetta Byars Biles | Licensed Practical Nurse | 25639 Ford Rd., Dearborn Heights, MI 48127 | 2019-11-04 |
| 1174098982 | George Mousa Mufarreh | Specialist/Technologist, Other | 21630 Breechcrest St., Dearborn Heights, MI 48127 | 2018-10-08 |
| 1285110312 | Fastcaremd Urgent Care PC | Clinic/Center | 6012 N Vernon St, Dearborn Heights, MI 48127 | 2018-07-11 |
| 1356845689 | Wayne Medical Supply | Durable Medical Equipment & Medical Supplies | 26808 Simone St., Dearborn Hts., MI 48127 | 2018-03-21 |
| 1538516729 | Reliable Rehab LLC | Clinic/Center | 22101 W. Warren Ave, Dearborn Heights, MI 48127 | 2016-05-18 |
| 1407232739 | Tri-care Physical Therpay, LLC | Clinic/Center | 24100 W. Warren Ave, Dearborn Heights, MI 48127 | 2015-08-10 |
| 1083012322 | Golden Physical Therapy Pllc | Internal Medicine | 22243 West Warren St, Dearborn Heights, MI 48127 | 2014-12-19 |
| 1225448079 | Kristen Georgina-elizabeth Bogden | Occupational Therapist | 22241 Ann Arbor Trail, Dearborn Heights, MI 48127 | 2014-05-02 |
| 1306276183 | Qazi Healthcare | Family Medicine | 25150 Ford Rd, Ste 100, Dearborn Heights, MI 48127 | 2013-11-15 |
| 1497193957 | Keyyan Medical Pllc | Internal Medicine | 22239 West Warren Ave, Dearborn Heights, MI 48127 | 2013-06-06 |
| Find all providers in zip 48127 | ||||
| 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 |
|---|---|---|---|---|
| 1073171385 | Superior Care Pharmacy LLC | Pharmacy | 6636 N Telegraph Rd, Dearborn Heights, MI 48127-2250 | 2019-06-01 |
| 1700276565 | Van Born Pharmacy Inc | Pharmacy | 22220 Van Born Rd, Dearborn Heights, MI 48125-2573 | 2015-02-02 |
| 1811396351 | Incster Pharmacy LLC | Pharmacy | 27354 W Warren St, Dearborn Heights, MI 48127-1842 | 2014-08-21 |
| 1588913370 | Venoy Rx LLC | Pharmacy | 4515 S Telegraph Rd, Dearborn Heights, MI 48125-1934 | 2012-09-07 |
| 1376797746 | 123 Pharmacy LLC | Pharmacy | 24142 W Warren St, Ste A2, Dearborn Heights, MI 48127-2256 | 2008-11-11 |
| 1699866533 | Family Drugs Pharmacy IIi, Inc | Pharmacy | 20217 Ann Arbor Trl Ste A, Dearborn Heights, MI 48127-2692 | 2006-09-27 |
| 1669584520 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 25762 Van Born Rd, Dearborn Heights, MI 48125-1740 | 2006-08-31 |
| 1144332073 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 8710 N Beech Daly Rd, Dearborn Heights, MI 48127-5001 | 2006-08-31 |
| 1982719647 | Osama Pharmacy Inc | Pharmacy | 8565 N Silvery Ln Ste 404, Dearborn Heights, MI 48127-4518 | 2006-08-20 |
| 1962452847 | A L R Pharmcy Inc | Pharmacy | 25022 W Warren St, Dearborn Heights, MI 48127-2145 | 2006-05-11 |
| Find all providers in DEARBORN HEIGHTS | ||||
| City | DEARBORN HEIGHTS |
| Zip Code | 48127 |
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.