Kroger Co Of Michigan is an authorized DME supplier for medicare equipments and products.
Kroger Co Of Michigan is a Community/Retail Pharmacy in Southfield, Michigan. It is located at 19855 W 12 Mile Rd, Southfield and it's customer support contact number is 248-559-0801. 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 5301007015 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:
19855 W 12 Mile Rd, Southfield, Michigan, 48076-2561
Phone:
248-559-0801
Fax:
248-559-0804
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:
1932133782
NPI Enumeration Date:
10 Jul, 2006
NPI Last Update On:
25 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
5301007015
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
4098659
Medicaid
Michigan
2044473
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
O20100930093073
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: Mail Order
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:
513-762-1019
Fax Number:
513-762-1092
Patients can reach Kroger Co Of Michigan at 19855 W 12 Mile Rd, Southfield, Michigan or can call on customer care at 248-559-0801.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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