Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Kroger Co of Michigan

Community/Retail Pharmacy in Macomb, MI · enumerated 2009 · authorized official Jessie Warman, Manager Rx Licensing.

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

National Provider Identifier

1720220197

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Registry record

Entity type Organization (Type 2)

Legal business name Kroger Co of Michigan

Other name <Unavail>

Practice address 16450 26 Mile Rd, Macomb, MI, 48042

Phone (586) 677-8730

Fax (586) 677-8735

Enumeration date Apr 1, 2009

Last updated in NPPES Jan 25, 2019

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License 5301009070 (MI) Primary

Authorized official

Name Jessie Warman

Title Manager Rx Licensing

Phone (513) 762-1090

Other identifiers

Identifier	Type	State	Issuer
2119766	Other	-	PK
2372617	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.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-01-25. Verify at npiregistry.cms.hhs.gov.

Where is Kroger Co of Michigan located?

The practice location on file with NPPES is in Macomb, MI.

Providers at this address

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Thomas Rivera Pharmacist · Macomb, MI NPI 1306120381

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-01-25.