Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kroger Co of Michigan

Organization Durable Medical Equipment & Medical Supplies · NPI 1215961057

Kroger Co of Michigan is a Durable Medical Equipment & Medical Supplies in Warren, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
3

Practice location Address checks out

28250 Dequindre Rd
Warren, MI 48092-5604
Phone: (586) 558-2089
Fax: (586) 558-9483
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 5301005685 (MI)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1215961057
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessie Warman — Manager Rx Licensing · (513) 762-1090
Other names Kroger Pharmacy; Kroger Pharmacy
NPI enumeratedJuly 10, 2006
Last updated in NPPESJanuary 25, 2019
Mailing addressPo Box 842772, Boston, MA 02284-2772

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