OrganizationActive
Kroger Co of Michigan
NPI 1912931767 · Community/Retail Pharmacy · Macomb, MI
Kroger Co of Michigan is a Community/Retail Pharmacy organization in Macomb, MI (NPI 1912931767).
Provider details
- NPI number
- 1912931767
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jessie Warman, Manager Rx Licensing(513) 762-1090
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15251 23 Mile Rd
Macomb, MI 48042-4056
Phone: (586) 677-0968
Fax: (810) 677-9794
Street-level locationGet directions
Mailing address
40399 Grand River Ave Ste 110
Novi, MI 48375-2148
Other names (DBA / former)
- Doing business as
- Kroger Pharmacy
- Doing business as
- Kroger Pharmacy
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2019-01-16
Frequently asked questions
- What is Kroger Co of Michigan's NPI number?
- Kroger Co of Michigan's National Provider Identifier (NPI) is 1912931767, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kroger Co of Michigan?
- Kroger Co of Michigan is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Kroger Co of Michigan located?
- Kroger Co of Michigan's practice location on file with NPPES is 15251 23 Mile Rd, Macomb, MI 48042-4056.
- What is Kroger Co of Michigan's phone number?
- The practice phone number listed in the NPPES registry for Kroger Co of Michigan is (586) 677-0968.
- Who is the authorized official for Kroger Co of Michigan?
- The authorized official listed on Kroger Co of Michigan's NPPES record is Jessie Warman, Manager Rx Licensing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kroger Co of Michigan's NPI active?
- Yes — Kroger Co of Michigan's NPI (1912931767) is active in the NPPES registry as of the last update on 2019-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.