KROGER PHARMACY
NPI 1801820667
Pharmacy - Community/Retail Pharmacy in Livonia, MI

Active since July 10, 2006CLIA 23D2077120 · Waiver
33523 8 MILE RD, LIVONIA, MI 48152(248) 473-8240(248) 478-1060 Get Directions Write a Review

NPPES record last updated: January 25, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 25, 2019, May 16, 2016 (2 updates tracked since 2016).

About Kroger Pharmacy NPPES

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

KROGER PHARMACY (NPI 1801820667) is a healthcare organization registered as a community/retail pharmacy in Livonia, Michigan and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists Jessie Warman, Manager Rx Licensing, as its authorized official.

NPPES Registry Identity

NPI1801820667
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER CO OF MICHIGAN
Location Address33523 8 MILE RDLivonia, MI 48152-4117
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Fax(248) 478-1060
Organization SubpartNo
Authorized OfficialJessie WarmanManager Rx Licensing · (513) 762-1090
Enumeration DateJuly 10, 2006
Last NPPES UpdateJanuary 25, 20192 updates tracked since enumeration
NPI 1801820667 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 · 5301005428
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
33523 8 MILE RD, Livonia, MI 48152

Other Names 1

Doing Business AsKroger Pharmacy

Other Identifiers 2

Medicaid2668789MI
Other2041020Pk

Accepted 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 23D2077120

Kroger Co Of Michigan, The · Livonia, MI
Active · expires Apr 30, 2028
CLIA Number23D2077120
Laboratory TypeRetail Pharmacy
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorRobert Brown
Laboratory Phone(248) 473-8240
Laboratory LocationKroger Co Of Michigan, The33523 8 Mile Road Kroger Pharmacy 018-615 Attn Pharmacist In Charge, Livonia, MI 48152
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

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

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.

This service was performed 201 times for 201 patients

Administration of pneumococcal vaccine

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.

This service was performed 36 times for 36 patients

Influenza vaccine split virus, preservative free

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.

This service was performed 197 times for 197 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use

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.

This service was performed 36 times for 36 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20410709
Accepts Medicare Assignment
YES
Specialities List
Pharmacy, Grocery Store.
Competitive Bidding
NO

Supplies List

  • 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
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Enteral Nutrients - Enteral formula
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
33523 8 MILE RD
LIVONIA, MI 48152
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
33523 8 MILE RD
LIVONIA, MI 48152
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
33523 8 MILE RD
LIVONIA, MI 48152
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
33523 8 MILE RD
LIVONIA, MI 48152
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
33523 8 MILE RD
LIVONIA, MI 48152
Pharmacist
33523 8 MILE RD
LIVONIA, MI 48152

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801820667, enumerated as an "organization" on July 10, 2006.

The provider is located at 33523 8 MILE RD LIVONIA, MI 48152 and the phone number is (248) 473-8240.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.