KROGER PHARMACY
NPI 1912931767
Pharmacy - Community/Retail Pharmacy in Macomb, MI

Active since July 10, 2006
15251 23 MILE RD, MACOMB, MI 48042(586) 677-0968(810) 677-9794 Get Directions Write a Review

NPPES record last updated: January 16, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kroger Pharmacy NPPES

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

KROGER PHARMACY (NPI 1912931767) is a healthcare organization registered as a community/retail pharmacy in Macomb, Michigan and active in the NPI registry since July 2006. The organization lists Jessie Warman, Manager Rx Licensing, as its authorized official.

NPPES Registry Identity

NPI1912931767
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKROGER CO OF MICHIGAN
Location Address15251 23 MILE RDMacomb, MI 48042-4056
Mailing Address40399 Grand River Ave Ste 110Novi, MI 48375-2148 · (248) 536-1545 · Fax (248) 536-1599
Fax(810) 677-9794
Organization SubpartNo
Authorized OfficialJessie WarmanManager Rx Licensing · (513) 762-1090
Enumeration DateJuly 10, 2006
Last NPPES UpdateJanuary 16, 2019
NPI 1912931767 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 · 5301007043
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
15251 23 MILE RD, Macomb, MI 48042

Other Names 1

Doing Business AsKroger Pharmacy

Other Identifiers 2

Medicaid4119196MI
Other2044503Pk

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 1912931767. 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 15251 23 Mile Rd, Macomb, MI 48042. The listed phone number is (586) 677-0968.

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.

When was this NPI record last updated?

The NPPES record for Kroger Co Of Michigan was last updated on January 16, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.