Organization · Type 2 NPI

Kroger Co of Michigan

Community/Retail Pharmacy · Oak Park, MI

NPI number 1699395459 Active

Practice location

26200 Greenfield Rd
Oak Park, MI 48237-1051

Call (248) 721-4577 Map

Mailing address

PO Box 2918
Hutchinson, KS 67504-2918

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: 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 …

Another provider at this address

Christian Pelayo, RPHPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Oak Park, MI NPI 1780220806

Other community/retail pharmacy providers in Oak Park

See all in Oak Park →

NPI record

NPI: 1699395459
Entity type: Organization (Type 2)
Issued: Apr 22, 2020
Last updated: Jun 8, 2021
Status: Active

Other names

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Kroger Co of Michigan #751 · doing business as
Kroger Co of Michigan #751 · doing business as

Authorized official

Jessie Warman
Manager of Pharmacy Licensing
(513) 762-1090

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1699395459

Kroger Co of Michigan's National Provider Identifier is 1699395459, issued on Apr 22, 2020. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Oak Park, MI. The record was last updated on Jun 8, 2021.