NPIMap

Organization Active NPI

Riet Aid

  • Pharmacist
  • Jackson, MI
National Provider Identifier
1083027908
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302023467 Issued in MI
Legal business name
RIET AID
Practice address
2255 S Jackson Rd
Jackson, MI 49201
Phone
(517) 780-9536
Fax
(517) 782-9140
NPI assigned
Jun 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Mr. Gary Michael Brion
Title
Pharmacist
Phone
(517) 745-8026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 5302023467 MI Primary

Addresses

Primary practice location

2255 S Jackson Rd
Jackson, MI 49201

Mailing address

2255 S Jackson Rd
Jackson, MI 49201-8344
Phone (517) 780-9536

Other identifiers 1

IdentifierTypeStateIssuer
5302023467OtherMIPHARMACY

National Provider Directory

National Provider Directory
Tax ID family
Rite Aid of Michigan Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1083027908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 S JACKSON RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492018344",
            "telephone_number": "517-780-9536",
            "fax_number": "517-782-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 S JACKSON RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "49201",
            "telephone_number": "517-780-9536",
            "fax_number": "517-782-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIET AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "BRION",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "517-745-8026",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302023467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "5302023467",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.