KROGER CO OF MICHIGAN (NPI# 1962436790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962436790 |
| Entity Type | Organization |
| Organization Name | KROGER CO OF MICHIGAN |
| Other Organization Name | THE KROGER CO. OF MICHIGAN |
| Practice Address |
2051 18 Mile Rd Sterling Heights MI 48314-3703 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 5869300720 |
| Practice Fax Number | 5869300725 |
| Mailing Telephone | 5137621019 |
| Mailing Fax Number | 5137621092 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-02-27 |
| 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 | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301006577 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2043921 | 01 | |
| MI | 3365785 | 05 |
| Other Name | Type Code |
|---|---|
| KROGER PHARMACY | Doing Business As Name - Organization |
| THE KROGER CO. OF MICHIGAN | 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 |
2051 18 MILE RD |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48314-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454028 | Mckenzie Marie Smith | Pharmacist | 2051 18 Mile Rd, Sterling Heights, MI 48314-3703 | 2020-10-15 |
| 1578109617 | Chintu Eappen | Pharmacist | 2051 18 Mile Rd, Sterling Heights, MI 48314-3703 | 2019-11-25 |
| 1841699717 | Christine Awabdeh | Pharmacist | 2051 18 Mile Rd, Sterling Heights, MI 48314-3703 | 2014-08-17 |
| 1295049526 | Pankaj Amratlal Patel | Pharmacist | 2051 18 Mile Rd, Sterling Heights, MI 48314-3703 | 2010-07-28 |
| 1336461169 | Honorata Grzesiak-socha | Pharmacist | 2051 18 Mile Rd, Sterling Heights, MI 48314-3703 | 2010-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154961720 | Sterling Heights Comfort Care LLC | Assisted Living Facility | 44456 Mound Rd, Sterling Heights, MI 48314 | 2020-01-13 |
| 1053875591 | Preztige Medical Transportation | Non-emergency Medical Transport (VAN) | 43656 Vintage Oaks Drive, Sterling Heights, MI 48314 | 2019-01-29 |
| 1396215935 | Alice Arulselvi Andrews | Nurse Practitioner | 4697 Aspenwood Dr, Sterling Heights, MI 48314 | 2018-11-27 |
| 1861938680 | Hope Physical Therapy | Physical Therapist | 42301 Mound Rd, Sterling Heights, MI 48314 | 2017-01-18 |
| 1972050292 | Sudomir Sleep Solutions, L.L.C. | Pediatrics | 43184 Dequindre Rd., Suite 206, Sterling Heights, MI 48314 | 2016-09-02 |
| 1457720534 | Soltions 2 Life LLC | Home Health | 3220 Cherry Creek Lane, Sterling Heights, MI 48314 | 2015-09-18 |
| 1326449091 | Lauren Ehardt | Dentist | 43060 Mound Rd, Sterling Heights, MI 48314 | 2014-09-11 |
| 1134554819 | Amy Kathryn Barnes | Social Worker | 5995 Nineteen Mile Rd, Sterling Heights, MI 48314 | 2013-09-12 |
| 1952666117 | Michigan's Dental Health Professional | Dentist | 42370 Van Dyke Ave Suite 101, Sterling Hts, MI 48314 | 2012-07-12 |
| 1699051557 | Sanju Koithara | Physical Therapist | 2644 Balsam Way Drive, Sterling Heights, MI 48314 | 2011-10-24 |
| Find all providers in zip 48314 | ||||
| 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 |
|---|---|---|---|---|
| 1992357479 | Metro Rx | Pharmacy | 3053 Metropolitan Pkwy Suite 107, Sterling Heights, MI 43310 | 2019-07-15 |
| 1568948891 | Crittenton Rx LLC | Pharmacy | 42370 Van Dyke Ave Ste 105, Sterling Heights, MI 48314-3487 | 2018-07-19 |
| 1114413085 | Quality Care Pharmacy LLC | Pharmacy | 33740 Schoenherr Rd, Sterling Heights, MI 48312-6404 | 2018-07-03 |
| 1578050035 | Metro Rx LLC | Pharmacy | 3058 Metropolitan Pkwy Ste 107, Sterling Heights, MI 48310-3600 | 2018-04-19 |
| 1689064735 | Pharm E-z, Inc. | Pharmacy | 35814 Dequindre Rd, Sterling Heights, MI 48310-4290 | 2015-01-28 |
| 1447680350 | American Discount Pharmacy | Pharmacy | 2767 E 14 Mile Rd, Sterling Heights, MI 48310-5962 | 2013-11-14 |
| 1114354164 | Pharmacarxe of Sterling Heights LLC | Pharmacy | 4135 15 Mile Rd, Sterling Heights, MI 48310-5400 | 2013-10-07 |
| 1891894192 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 43611 Schoenherr Rd, Sterling Heights, MI 48313-1114 | 2006-09-22 |
| 1609978998 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 4025 18 Mile Rd, Sterling Heights, MI 48314-3901 | 2006-09-05 |
| 1851403786 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 3678 15 Mile Rd, Sterling Heights, MI 48310-5355 | 2006-08-31 |
| Find all providers in STERLING HEIGHTS | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48314 |
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.