KROGER CO OF MICHIGAN
NPI 1821022674
Pharmacy - Community/Retail Pharmacy in Warren, MI

Active since July 10, 2006
31200 SCHOENHERR RD, WARREN, MI 48088(586) 238-4570 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 28, 2019, Jan 25, 2019, May 16, 2016 (3 updates tracked since 2016).

About Kroger Co Of Michigan NPPES

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

KROGER CO OF MICHIGAN (NPI 1821022674) is a healthcare organization registered as a community/retail pharmacy in Warren, Michigan and active in the NPI registry since July 2006. The organization maintains a secondary practice location in Warren and lists Jessie Warman, Manager Rx Licensing, as its authorized official.

NPPES Registry Identity

NPI1821022674
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER CO OF MICHIGAN
Location Address31200 SCHOENHERR RDWarren, MI 48088
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Organization SubpartNo
Authorized OfficialJessie WarmanManager Rx Licensing · (513) 762-1090
Enumeration DateJuly 10, 2006
Last NPPES UpdateOctober 28, 20193 updates tracked since enumeration
NPI 1821022674 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 · 5301007061
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
31200 SCHOENHERR RD, Warren, MI 48088

Other Names 1

Doing Business AsKroger Co Of Michigan

Secondary Practice Location 1

Location 113700 E 14 Mile RdWarren, MI 48088-1487 · Phone (586) 285-9487 · Fax (810) 285-9504

Other Identifiers 2

Other2044506Pk
Medicaid4138137MI

Accepted Insurance

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
190 services189 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.
180 services179 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.
15 services15 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.
15 services15 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Kroger Pharmacy 18776 carries, from the Medicare DMEPOS supplier directory.

Kroger Pharmacy 18776

DMEPOS supplier · Warren, MIOperated by Kroger Co Of Michigan

Accepts Medicare assignment

Kroger Pharmacy 18776 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)20410937
Medicare Participant SinceNovember 5, 2020
Supplier Location31200 Schoenherr RdWarren, MI 48088
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 8

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

Eyewear Supplier
31200 SCHOENHERR RD
WARREN, MI 48088
Pharmacist
31200 SCHOENHERR RD, PHARMACY 4204
WARREN, MI 48088
Pharmacist
31200 SCHOENHERR RD
WARREN, MI 48088
Pharmacist
31200 SCHOENHERR RD
WARREN, MI 48088
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
31200 SCHOENHERR RD
WARREN, MI 48088
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
31200 SCHOENHERR RD
WARREN, MI 48088
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
31200 SCHOENHERR RD
WARREN, MI 48088
Pharmacist
31200 SCHOENHERR RD
WARREN, MI 48088

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821022674, enumerated as an "organization" on July 10, 2006.

The provider is located at 31200 SCHOENHERR RD WARREN, MI 48088 and the phone number is (586) 238-4570.

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.