KROGER CO OF MICHIGAN (NPI# 1154576635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154576635 |
| Entity Type | Organization |
| Organization Name | KROGER CO OF MICHIGAN |
| Other Organization Name | KROGER PHARMACY |
| Practice Address |
4672 State St Saginaw MI 48603-3805 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 9899216222 |
| Practice Fax Number | 9899216225 |
| Mailing Telephone | 5137621090 |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2019-01-16 |
| 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 |
5301009004 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2118068 | 01 | |
| MI | 2371970 | 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 |
| 1457551384 | Kroger Co of Michigan | Pharmacy | 64660 Van Dyke Rd, Washington, MI 48095-2853 | 2007-07-19 |
| Street Address |
4672 STATE ST |
| City | SAGINAW |
| State | MI |
| Zip Code | 48603-3805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508403726 | Denise Clark | Pharmacist | 4672 State St, Saginaw, MI 48603-3805 | 2019-12-06 |
| 1194362970 | Melinda Behm | Pharmacist | 4672 State St, Saginaw, MI 48603-3805 | 2019-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503952 | Kimberly Michelle Cole | Social Worker | 2823 Pimlico Ln, Saginaw, MI 48603 | 2019-11-20 |
| 1669035895 | Kristine Anna Roberts | Massage Therapist | 3175 Christy Way 8, Saginaw, MI 48603 | 2019-04-14 |
| 1114413069 | Sabrina Shunnarah | Behavioral Analyst | 3267 Schust Road, Apt. 101, Saginaw, MI 48603 | 2018-07-03 |
| 1740708528 | Alexandra Jennette Hengy | Student in an Organized Health Care Education/Training Program | 4287 Harbour Towne Dr Apt. 6, Saginaw, MI 48603 | 2017-08-31 |
| 1003345380 | Karissa Irene Piar | Social Worker | 2100 Hemmeter Rd., Saginaw, MI 48603 | 2017-06-08 |
| 1922537281 | Anita Rick | Behavior Technician | 3949 N. River Road, Freeland, Mi 48623, Freeland, MI 48603 | 2017-06-08 |
| 1417300393 | Saginaw County Community Mental Health Authority | In Home Supportive Care | 3875 Bay Rd., Saginaw, MI 48603 | 2016-07-15 |
| 1992154009 | Tricity Diagnostics, LLC | Physiological Laboratory | 3055 Enterprise Drive, Suite 2, Saginaw, MI 48603 | 2016-06-09 |
| 1659744571 | Janet Lee Smith | Social Worker | 4341 Barnard Rd, Saginaw, MI 48603 | 2015-11-02 |
| 1255656757 | Joseph Edward Chmielewski | Chiropractor | 4266 State St., Saginaw, MI 48603 | 2010-03-29 |
| Find all providers in zip 48603 | ||||
| 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 |
|---|---|---|---|---|
| 1144709767 | Westside Drugs LLC | Pharmacy | 100 S Michigan Ave Ste 1, Saginaw, MI 48602-2054 | 2018-08-14 |
| 1164871448 | Arogya Pharmacy Inc | Pharmacy | 5470 Gratiot Rd, Saginaw, MI 48638-6038 | 2016-06-08 |
| 1760885297 | Kali Nagabalaji | Pharmacy | 200 W J Boaz Rd, Ste 100, Saginaw, TX 76179 | 2014-09-29 |
| 1801022702 | Michigan Specialty Pharmacy LLC | Pharmacy | 301 E Genesee Ave Suite #100, Saginaw, MI 48607 | 2009-06-05 |
| 1891878211 | Faler Pharmacy Inc | Pharmacy | 1806 Court St, Saginaw, MI 48602 | 2006-10-21 |
| 1518061324 | Cvs Pharmacy Inc | Pharmacy | 1301 N Saginaw Blvd, Saginaw, TX 76179-5095 | 2006-09-12 |
| 1760497820 | Walgreen Co | Pharmacy | 833 N Saginaw Blvd, Saginaw, TX 76179-1234 | 2006-07-29 |
| 1063066041 | Apogee Pharmacy | Pharmacy | 608 E Bailey Boswell Rd Ste 140, Saginaw, TX 76131-3570 | 2019-07-29 |
| 1376010223 | Great Lakes Bay Health Centers | Pharmacy | 3023 Davenport Ave, Saginaw, MI 48602-3652 | 2018-10-30 |
| 1255882981 | Superior Pharmacy LLC | Pharmacy | 333 S Michigan Ave, Saginaw, MI 48602-2024 | 2016-10-18 |
| Find all providers in SAGINAW | ||||
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.