KROGER CO OF MICHIGAN (NPI# 1386844397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386844397 |
| Entity Type | Organization |
| Organization Name | KROGER CO OF MICHIGAN |
| Other Organization Name | KROGER PHARMACY |
| Practice Address |
17447 Haggerty Rd Northville MI 48168-9542 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 2486623032 |
| Practice Fax Number | 2486623034 |
| 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 |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301008644 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2042703 | 01 | |
| MI | 2370031 | 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 |
17447 HAGGERTY RD |
| City | NORTHVILLE |
| State | MI |
| Zip Code | 48168-9542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285659847 | Bormans Inc | Pharmacy | 17447 Haggerty Rd, Northville, MI 48168-9542 | 2006-07-13 |
| 1891332649 | Sarla Mundade | Pharmacist | 17447 Haggerty Rd, Northville, MI 48168-9542 | 2019-11-27 |
| 1194361246 | George Amin Abou-rjaily | Pharmacist | 17447 Haggerty Rd, Northville, MI 48168-9542 | 2019-11-25 |
| 1730725912 | Neetha Vinta | Pharmacist | 17447 Haggerty Rd, Northville, MI 48168-9542 | 2019-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619474376 | Regents of The University of Michigan | Eyewear Supplier (Equipment, not the service) | 39901 Traditions Dr Ste 230, Northville, MI 48168 | 2018-04-10 |
| 1487151486 | Amy Elizabeth Parravano Drummond | Social Worker | 49018 Freestone Dr, Northville, MI 48168 | 2018-04-07 |
| 1164925731 | Jessie A Hadley | Physical Therapy Assistant | Northville Health Center, 39901 Traditions Dr., Northville, MI 48168 | 2018-03-09 |
| 1952800591 | Katherine Kuciemba | Counselor | 18600 Northville Rd Ste 400, Northville, MI 48168 | 2018-02-09 |
| 1477957363 | Wendy Lynn Loope | Nurse Practitioner | 39901 Traditiions Dr, Suite 210, Northville, MI 48168 | 2014-10-21 |
| 1447502596 | Steven James Helsel | Counselor | 18600 Northville Rd., Northville, MI 48168 | 2012-10-12 |
| 1801041439 | R3a Corp | Durable Medical Equipment & Medical Supplies | 17911 Haggerty Rd, Northville, MI 48168 | 2008-11-24 |
| 1164589925 | Mary Catherine Neumaier | Dietitian, Registered | 40020 Five Mile Road, Northville, MI 48168 | 2007-01-02 |
| 1235249087 | Nicholas Spiro Sellas | General Practice | 18905 Edenderry Drive, Northville, MI 48168 | 2006-08-30 |
| 1992713390 | Karen H. Yurko | Psychologist | 41820 Six Mile. Rd., Ste. 104, Northville, MI 48168 | 2006-08-03 |
| Find all providers in zip 48168 | ||||
| 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 |
|---|---|---|---|---|
| 1134231061 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 133 E Dunlap St, Northville, MI 48167-1612 | 2006-08-31 |
| 1265544118 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 16855 Haggerty Rd, Northville, MI 48168-3955 | 2006-08-31 |
| 1720187024 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 39350 9 Mile Rd, Northville, MI 48167-9164 | 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 | ||||
| City | NORTHVILLE |
| Zip Code | 48168 |
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.