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

Kroger Co of Michigan

Organization Community/Retail Pharmacy · NPI 1609076520

Kroger Co of Michigan is a Community/Retail Pharmacy in Grosse Pointe, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

20422 Mack Ave
Grosse Pointe, MI 48236-1676
Phone: (313) 308-1033
Fax: (313) 308-1036
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 5301008652 (MI)

Record details

NPI number1609076520
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessie Warman — Manager Rx Licensing · (513) 762-1090
Other names Kroger Pharmacy; Kroger Pharmacy
NPI enumeratedJuly 19, 2007
Last updated in NPPESJanuary 16, 2019
Mailing addressPo Box 842772, Boston, MA 02284-2772

Other providers in Grosse Pointe