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 1518360791

Kroger Co of Michigan is a Durable Medical Equipment & Medical Supplies in Hazel Park, Michigan. Licensed in Michigan. Registered with an NPI since 2014.

Licensed in
MI
In the registry since
2014
Specialties on file
2

Practice location Address checks out

23101 John R Rd
Hazel Park, MI 48030-1475
Phone: (248) 658-1660
Fax: (248) 658-1665
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 5301010599 (MI)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1518360791
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessie Warman — Manager Rx Licensing · (513) 762-1090
Other names Kroger Pharmacy #447; Kroger Pharmacy #447
NPI enumeratedOctober 2, 2014
Last updated in NPPESJanuary 25, 2019
Mailing addressPo Box 842772, Boston, MA 02284-2772

Other providers in Hazel Park