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Kroger Co of Michigan

Community/Retail Pharmacy in Macomb, MI · enumerated 2006 · authorized official Jessie Warman, Manager Rx Licensing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1437183290

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Registry record

Entity type Organization (Type 2)
Legal business name Kroger Co of Michigan
Other name <Unavail>
Practice address 21555 21 Mile Rd, Macomb, MI, 48044
Phone (586) 421-9877
Fax (586) 421-9886
Enumeration date Jul 10, 2006
Last updated in NPPES Jun 20, 2019

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 5301007468 (MI) Primary

Authorized official

Name Jessie Warman
Title Manager Rx Licensing
Phone (513) 762-1090

Other identifiers

Identifier Type State Issuer
2045994 Other - PK
2363175 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Kroger Co of Michigan located?
The practice location on file with NPPES is in Macomb, MI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-06-20. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-06-20.