1. Home
  2. Directory
  3. Michigan
  4. Westland
  5. Pharmacy
  6. NPI Profile

KROGER PHARMACY #459
NPI 1619498086
Pharmacy - Community/Retail Pharmacy in Westland, MI

Active since July 06, 2017CLIA 23D2077110 · Waiver
7350 N MIDDLEBELT RD, WESTLAND, MI 48185(734) 793-1050 Get Directions Write a Review

NPPES record last updated: July 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kroger Pharmacy #459 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KROGER PHARMACY #459 (NPI 1619498086) is a healthcare organization registered as a community/retail pharmacy in Westland, Michigan and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists Allison Bredestege, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1619498086
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER CO OF MICHIGAN
Location Address7350 N MIDDLEBELT RDWestland, MI 48185-2502
Mailing AddressPo Box 842772Boston, MA 02284-2772
Phone(734) 793-1050
Organization SubpartNo
Authorized OfficialAllison BredestegeManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateJuly 6, 2017
✔ NPI 1619498086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
7350 N MIDDLEBELT RD, Westland, MI 48185
Open in Google Maps ↗

Other Names 1

Doing Business AsKroger Pharmacy #459

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2077110

Kroger Co Of Michigan · Westland, MI
Active · expires Apr 30, 2028
CLIA Number23D2077110
Laboratory TypePharmacy
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorRobert Brown
Laboratory Phone(734) 793-1050
Laboratory LocationKroger Co Of Michigan7350 Middlebelt Kroger Pharmacy 018-459 Attn Pharmacist In Charge, Westland, MI 48185
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Kroger Pharmacy #459 carries, from the Medicare DMEPOS supplier directory.

Kroger Pharmacy #459

DMEPOS supplier · Westland, MIOperated by Kroger Co Of Michigan
✔

Accepts Medicare assignment

Kroger Pharmacy #459 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20410733
Medicare Participant SinceNovember 5, 2020
Supplier Location7350 N Middlebelt RdWestland, MI 48185
Phone(734) 793-1050
Supplier Specialties
Pharmacy Grocery Store

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NUPUR M GHELANI
Pharmacist
7350 N MIDDLEBELT RD
WESTLAND, MI 48185
Wayne County (734) 793-1050
KROGER CO OF MICHIGAN
Pharmacy (Community/Retail Pharmacy)
7350 N MIDDLEBELT RD
WESTLAND, MI 48185
Wayne County (734) 522-2052
MR. LAKHVIR (LARRY) BAIDWAN RPH
Pharmacist
7350 N MIDDLEBELT RD
WESTLAND, MI 48185
Wayne County (734) 793-1050
BORMANS INC
Pharmacy (Community/Retail Pharmacy)
7350 N MIDDLEBELT RD
WESTLAND, MI 48185
Wayne County (734) 452-1016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kroger Co Of Michigan's NPI number?

The NPI number for Kroger Co Of Michigan is 1619498086. It was assigned to this organization in the NPPES registry on July 6, 2017. The provider is doing business as Kroger Pharmacy #459.

Where is Kroger Co Of Michigan located?

Kroger Co Of Michigan is located at 7350 N Middlebelt Rd, Westland, MI 48185. The listed phone number is (734) 793-1050.

What is Kroger Co Of Michigan's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Kroger Co Of Michigan accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Kroger Pharmacy #459 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Kroger Co Of Michigan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2077110) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kroger Co Of Michigan was last updated on July 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.