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Kroger Co of Michigan

Community/Retail Pharmacy in Troy, MI · enumerated 2007 · authorized official Jessie Warman, Manager Rx Licensing.

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

National Provider Identifier

1861684821

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Registry record

Entity type Organization (Type 2)
Legal business name Kroger Co of Michigan
Other name <Unavail>
Practice address 2105 South Blvd W, Troy, MI, 48098
Phone (248) 537-1011
Fax (248) 537-1013
Enumeration date Aug 14, 2007
Last updated in NPPES Jan 25, 2019

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 5301008659 (MI) Primary

Authorized official

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

Other identifiers

Identifier Type State Issuer
2042754 Other - PK
2370170 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

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 Troy, MI.

Providers at this address

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