NPIMap

Organization Active NPI

Rite Aid

  • Pharmacist
  • Tawas City, MI
National Provider Identifier
1003284217
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302043667 Issued in MI
Legal business name
RITE AID
Practice address
211 W Lake St
Tawas City, MI 48763-9274
Phone
(727) 362-3439
NPI assigned
Sep 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Pillsbury, PHARMD
Title
Staff Pharmacist
Phone
(727) 608-0471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 5302043667 MI Primary

Addresses

Primary practice location

211 W Lake St
Tawas City, MI 48763-9274

Mailing address

211 W Lake St
Tawas City, MI 48763-9274
Phone (727) 362-3439

National Provider Directory

National Provider Directory
Tax ID family
Rite Aid2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

211 W Lake St
Tawas City, MI 48763
Phone (727) 362-3439

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1003284217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W LAKE ST",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639274",
            "telephone_number": "727-362-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W LAKE ST",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639274",
            "telephone_number": "727-362-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "PILLSBURY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "STAFF PHARMACIST",
        "authorized_official_telephone_number": "727-608-0471",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302043667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tawas City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.