KROGER CO OF MICHIGAN (NPI# 1801820667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801820667 |
| Entity Type | Organization |
| Organization Name | KROGER CO OF MICHIGAN |
| Other Organization Name | KROGER PHARMACY |
| Practice Address |
33523 8 Mile Rd Livonia MI 48152-4117 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 2484738240 |
| Practice Fax Number | 2484781060 |
| Mailing Telephone | 5137621019 |
| Mailing Fax Number | 5137621092 |
| Enumeration Date | 2006-07-10 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301005428 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2668789 | 05 | |
| PK | 2041020 | 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 |
33523 8 MILE RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152-4117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346887114 | Julie Barbara Ryckman | Pharmacist | 33523 8 Mile Rd, Livonia, MI 48152-4117 | 2019-11-29 |
| 1972140705 | Kimberly Beauregard | Pharmacist | 33523 8 Mile Rd, Livonia, MI 48152-4117 | 2019-11-27 |
| 1841314614 | Carl John Trupp IIi | Chiropractor | 33523 8 Mile Rd, Livonia, MI 48152-4117 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| 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 |
|---|---|---|---|---|
| 1861028326 | J Walker Enterprises | Pharmacy | 3066 Hwy 78, Livonia, LA 70755 | 2020-03-17 |
| 1437609351 | Blooms Pharmacy LLC | Pharmacy | 16347 Middlebelt Rd, Livonia, MI 48154-3360 | 2016-10-04 |
| 1326420357 | Livonia Family Pharmacy LLC | Pharmacy | 15983 Middlebelt Rd, Livonia, MI 48154-3311 | 2015-06-25 |
| 1417368267 | Livonia Pharmacy LLC | Pharmacy | 17888 Farmington Rd, Livonia, MI 48152-3104 | 2014-05-14 |
| 1518392281 | El Noor LLC | Pharmacy | 20292 Middlebelt Rd, Suite B, Livonia, MI 48152-2002 | 2013-09-12 |
| 1417285404 | Farmington Drugs & Medical Supplies LLC | Pharmacy | 20434 Farmington Rd, Livonia, MI 48152-1416 | 2009-12-02 |
| 1952463663 | Livonia Drugs Inc. | Pharmacy | 33525 5 Mile Rd, Livonia, MI 48154-2861 | 2006-12-16 |
| 1497857734 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 37340 Five Mile Rd, Livonia, MI 48154-1900 | 2006-09-05 |
| 1679685507 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 29500 5 Mile Rd, Livonia, MI 48154-3710 | 2006-08-31 |
| 1891807756 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 8811 Newburgh Rd, Livonia, MI 48150-3424 | 2006-08-31 |
| Find all providers in LIVONIA | ||||
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.