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 1902096001

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

Licensed in
MI
In the registry since
2007

Practice location Address checks out

30851 Gratiot Ave
Roseville, MI 48066-1769
Phone: (586) 541-3314
Fax: (586) 541-3320
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 5301008656 (MI)

Record details

NPI number1902096001
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessie Warman — Manager Rx Licensing · (513) 762-1090
Other names Kroger Pharmacy; Kroger Pharmacy
NPI enumeratedJuly 26, 2007
Last updated in NPPESJanuary 25, 2019
Mailing addressPo Box 842772, Boston, MA 02284-2772

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