Kroger Co Of Michigan
Community/Retail Pharmacy
1905 N Canton Center Rd, Canton
Michigan, 48187-2954
734-844-2677 734-844-3316
Kroger Co Of Michigan is a Community/Retail Pharmacy in Canton, Michigan. It is located at 1905 N Canton Center Rd, Canton and it's customer support contact number is 734-844-2677. The authorized person of Kroger Co Of Michigan is Jessie Warman who is Manager Rx Licensing of the pharmacy and his contact number is 513-762-1090. Active license number of Kroger Co Of Michigan is 5301006682 for Community/Retail Pharmacy in Michigan. Kroger Co Of Michigan accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Kroger Co Of Michigan is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Kroger Co Of Michigan type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Kroger Co Of Michigan |
| Type: | Community/Retail Pharmacy |
| Location: | 1905 N Canton Center Rd, Canton,
Michigan, 48187-2954 |
| Phone: | 734-844-2677 |
| Fax: | 734-844-3316 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jessie Warman |
| Position: | Manager Rx Licensing |
| Contact Number: | 513-762-1090 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1760416515 |
| NPI Enumeration Date: | 10 Jul, 2006 |
| NPI Last Update On: | 16 Jan, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kroger Co Of Michigan are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 5301006682 | Michigan | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3409923 | Medicaid | Michigan | |
| 2044059 | Other | | Pk |
Medicare Enrollment:
Kroger Co Of Michigan is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 8820051816 | O20100930004605 | The Kroger Co Of Michigan | DME SUPPLIER - PHARMACY |
Products Available:
Kroger Co Of Michigan has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Enteral Equipment And/or Supplies |
| • Enteral Nutrients | • Nebulizer Equipment & Supplies |
| • Ostomy Supplies | • Surgical Dressings |
| • Urological Supplies | • Walkers |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 842772,
Boston, Massachusetts |
| Zip: | 02284-2772 |
| Phone Number: | 513-762-1090 |
Patients can reach Kroger Co Of Michigan at
1905 N Canton Center Rd, Canton, Michigan or can
call on customer care at 734-844-2677.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.