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KROGER PHARMACY
NPI 1689608457
Pharmacy - Community/Retail Pharmacy in Orion, MI

Active since July 10, 2006CLIA 23D2076997 · Waiver
3097 S BALDWIN RD, ORION, MI 48359(248) 393-4573(248) 393-4583 Get Directions Write a Review

NPPES record last updated: June 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2019, Jan 16, 2019, Oct 11, 2016 and 1 more (4 updates tracked since 2016).

About Kroger Pharmacy NPPES

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

KROGER PHARMACY (NPI 1689608457) is a healthcare organization registered as a community/retail pharmacy in Orion, Michigan and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 29, 2028 and lists Jessie Warman, Manager Rx Licensing, as its authorized official.

NPPES Registry Identity

NPI1689608457
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER CO OF MICHIGAN
Location Address3097 S BALDWIN RDOrion, MI 48359-1028
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1090
Phone(248) 393-4573
Fax(248) 393-4583
Organization SubpartNo
Authorized OfficialJessie WarmanManager Rx Licensing · (513) 762-1090
Enumeration DateJuly 10, 2006
Last NPPES UpdateJune 20, 20194 updates tracked since enumeration
✔ NPI 1689608457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MI · 5301007534
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
Also ListedPharmacyTaxonomy 333600000X
3097 S BALDWIN RD, Orion, MI 48359
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Other Names 1

Doing Business AsKroger Pharmacy

Other Identifiers 2

Other2046041Pk
Medicaid2363656MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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 23D2076997

Kroger Co Of Michigan, The · Orion, MI
Active · expires Apr 29, 2028
CLIA Number23D2076997
Laboratory TypeRetail Pharmacy
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorRobert Brown
Laboratory Phone(248) 393-4573
Laboratory LocationKroger Co Of Michigan, The3097 S Baldwin Road Kroger Pharmacy 018-649 Attn Pharmacist In Charge, Orion, MI 48360
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
124 services124 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
113 services113 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
26 services26 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
26 services26 patients

Other Providers at the Same Location NPPES 3

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

WILLIAM J SHAFER
Pharmacist
3097 S BALDWIN RD
LAKE ORION, MI 48359
Oakland County (248) 393-4573
MRS. AIMEE ADAMO RENNELL R.PH.
Pharmacist
3097 S BALDWIN RD
LAKE ORION, MI 48359
Oakland County (248) 393-4573
RITA MARY SENAWE RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3097 S BALDWIN RD
LAKE ORION, MI 48359
Oakland County (248) 393-4573

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 1689608457. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider is doing business as Kroger Pharmacy.

Where is Kroger Co Of Michigan located?

Kroger Co Of Michigan is located at 3097 S Baldwin Rd, Orion, MI 48359. The listed phone number is (248) 393-4573.

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 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2076997) is associated with this NPI, valid through April 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kroger Co Of Michigan accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 47 other insurers list Kroger Co Of Michigan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kroger Co Of Michigan was last updated on June 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.