KROGER CO OF MICHIGAN (NPI# 1457551384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457551384 |
| Entity Type | Organization |
| Organization Name | KROGER CO OF MICHIGAN |
| Other Organization Name | KROGER PHARMACY |
| Practice Address |
64660 Van Dyke Rd Washington MI 48095-2853 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 5865408004 |
| Practice Fax Number | 5865408005 |
| 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 |
5301008657 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2369963 | 05 | |
| PK | 2042696 | 01 |
| 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 |
64660 VAN DYKE RD |
| City | WASHINGTON |
| State | MI |
| Zip Code | 48095-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841836111 | Jacob Kelahan | Pharmacist | 64660 Van Dyke Rd, Washington, MI 48095-2853 | 2019-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043748569 | Shree Ohm Inc | Pharmacy | 64580 Van Dyke Rd Ste D, Washington, MI 48095 | 2017-05-28 |
| 1366763914 | Jacob Paul Witer | Dentist | 65893 Van Dyke Rd, Washington Twp, MI 48095 | 2010-06-17 |
| 1619117405 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 63033 Van Dyke Road, Washington, MI 48095 | 2009-03-06 |
| 1134262140 | Romeo Sleep Center, LLC | Physiological Laboratory | 67150 Van Dyke, #150, Washington, MI 48095 | 2007-02-15 |
| 1982776738 | Romeo Urgent Care, PC | Clinic/Center | 67150 Vandyke Rd, Washington, MI 48095 | 2006-11-15 |
| 1245311398 | Orchardview Physicians, Pllc | Preventive Medicine | 12250 Thirty Mile Rd, Washington Township, MI 48095 | 2006-10-17 |
| 1548285109 | Bormans Inc | Pharmacy | 64660 Van Dyke, Romeo, MI 48095 | 2006-07-13 |
| 1104860022 | Michael Lucien Lefebvre | Dentist | 64580 Van Dyke, Suite B, Washington, MI 48095 | 2006-06-15 |
| 1992785828 | Kulpa & Kulpa Dds | Dentist | 64845 Vandyke, Washington, MI 48095 | 2006-01-18 |
| 1972776813 | Michigan Orthopedic & Spinal Surgery Pllc | Orthopaedic Surgery | 12150 30 Mile Rd, Suite 105, Washington Twp, MI 48095 | 2008-04-11 |
| Find all providers in zip 48095 | ||||
| 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] |
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| 1144869736 | Velima Pharmacy | Pharmacy | 4514 Benning Rd Se, Washington, DC 20019-5149 | 2019-12-30 |
| 1013565597 | District of Columbia Cvs Pharmacy LLC | Pharmacy | 4500 Wisconsin Ave Nw, Washington, DC 20016-4628 | 2019-08-28 |
| 1932684354 | Healing Touch LLC | Pharmacy | 4139 Wheeler Rd Se Ste A, Washington, DC 20032-4346 | 2018-10-02 |
| 1942781810 | District of Columbia Cvs Pharmacy LLC | Pharmacy | 1101 New York Ave Nw, Washington, DC 20005-4269 | 2018-08-28 |
| 1003316316 | Whitman-walker Clinic Inc. | Pharmacy | 2303 Martin Luther King Jr Ave Se, Washington, DC 20020 | 2018-02-14 |
| 1366969040 | Mercy Pharmacy Services, LLC | Pharmacy | 851 E 5th St Ste 104, Washington, MO 63090-3128 | 2017-08-24 |
| 1982121893 | District of Columbia Cvs Pharmacy LLC | Pharmacy | 800 Maine Ave, Sw, Washington, DC 20024 | 2017-08-23 |
| 1891217618 | Healthdirect Institutional Pharmacy Services Inc | Pharmacy | 1100 W Chestnut St Ste 200, Washington, PA 15301 | 2017-07-13 |
| 1649792581 | Kalorama Pharmacy Inc. | Pharmacy | 1841 Columbia Rd Nw, Washington, DC 20009 | 2017-07-12 |
| 1750732970 | Walgreen Co | Pharmacy | 1117 Good Hope Rd Se, Washington, DC 20020 | 2016-06-29 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 48095 |
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.