KROGER CO OF MICHIGAN (NPI# 1720220197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720220197 |
| Entity Type | Organization |
| Organization Name | KROGER CO OF MICHIGAN |
| Other Organization Name | KROGER PHARMACY |
| Practice Address |
16450 26 Mile Rd Macomb MI 48042-1056 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 5866778730 |
| Practice Fax Number | 5866778735 |
| Mailing Telephone | 5137621019 |
| Mailing Fax Number | 5137621092 |
| Enumeration Date | 2009-04-01 |
| 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 |
5301009070 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2119766 | 01 | |
| MI | 2372617 | 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 |
| 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 |
16450 26 MILE RD |
| City | MACOMB |
| State | MI |
| Zip Code | 48042-1056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427695287 | Davinderjit Kaur Chahal | Pharmacist | 16450 26 Mile Rd, Macomb, MI 48042-1056 | 2019-11-28 |
| 1609412733 | William J Shafer | Pharmacist | 16450 26 Mile Rd, Macomb, MI 48042-1056 | 2019-11-25 |
| 1306120381 | Thomas Rivera | Pharmacist | 16450 26 Mile Rd, Macomb, MI 48042-1056 | 2011-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235750431 | Precision Surgery Center LLC | Clinic/Center | 22701 Hall Road, Macomb, MI 48042 | 2020-04-29 |
| 1437573177 | Michael D Pizzimenti | Physical Therapist | 23211 N 21 Mile Road, Macomb, MI 48042 | 2014-02-18 |
| 1518210707 | Kimberly Frances Hodor | Nurse Practitioner | 21840 23 Mile, Macomb, MI 48042 | 2012-10-25 |
| 1952628489 | Frank John Pugliesi | Obstetrics & Gynecology | 49730 S. Thunder Bay Circle, Macomb, MI 48042 | 2010-04-23 |
| 1053575118 | North Macomb Mrt Center LLC | Radiology | 17900 23 Mile Road, Macomb Twp, MI 48042 | 2008-07-17 |
| 1780857870 | Ryan David Vinson | Physical Therapist | 23211 21 Mile Rd, Macomb, MI 48042 | 2008-04-09 |
| 1578690889 | Michael P Nedley | Dentist | 51218 Romeo Plank Rd, Macomb Township, MI 48042 | 2007-02-27 |
| 1477697027 | Amy Hanes | Psychologist | 21592 Doral Dr, Macomb, MI 48042 | 2007-02-16 |
| 1871672055 | Jeffrey Richard Teno | Dentist | 16800 24 Mile, Suite 5, Macomb, MI 48042 | 2006-11-06 |
| 1649389123 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 15250 24 Mile Road, Macomb, MI 48042 | 2006-08-29 |
| Find all providers in zip 48042 | ||||
| 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 |
|---|---|---|---|---|
| 1619125069 | Woodward Detroit Cvs LLC | Pharmacy | 20877 Hall Rd, Macomb, MI 48044-4256 | 2008-08-28 |
| 1720263122 | Walgreen Co | Pharmacy | 21790 21 Mile Rd, Macomb, MI 48044-2974 | 2008-01-03 |
| 1093827941 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 46850 Romeo Plank Rd, Macomb, MI 48044-3545 | 2006-08-31 |
| 1407463102 | Alyssa Hansen | Pharmacy | 20877 Hall Rd, Macomb, MI 48044-4256 | 2020-09-26 |
| 1588823249 | Affiliated Health Services | Pharmacy | 17900 23 Mile Rd, Ste 104, Macomb, MI 48044 | 2008-06-06 |
| 1538237334 | Lakshmi Pharmacy Inc | Pharmacy | 15959 Hall Rd, Ste 101, Macomb, MI 48044-5363 | 2006-12-01 |
| 1356440655 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 21777 21 Mile Rd, Macomb, MI 48044-2962 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477389 | Rose Rex LLC | Pharmacy | 2330 S Milford Rd Ste 114, Highland, MI 48357-4982 | 2020-11-08 |
| 1508466194 | Grand Gratiot Pharmacy, LLC | Pharmacy | 7011 Gratiot Ave Ste 100, Detroit, MI 48207-1973 | 2020-10-31 |
| 1104424530 | Advance Care Rx, LLC | Pharmacy | 500 N Cass St, Berrien Springs, MI 49103-1069 | 2020-10-16 |
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1881292001 | Healthwatch Pharmacy Inc | Pharmacy | 1375 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1421 | 2020-10-09 |
| 1225645781 | Good Choice Pharmacy LLC | Pharmacy | 6750 E 10 Mile Rd, Center Line, MI 48015-1166 | 2020-09-29 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1851905707 | Skidway Pharmacy LLC | Pharmacy | 1830 Greenwood Rd, Prescott, MI 48756-8627 | 2020-09-08 |
| 1023621190 | Azam Mohsen Mesleh | Pharmacy | 6811 Theisen St, Dearborn, MI 48126-1927 | 2020-08-28 |
| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
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| 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.