Rite Aid Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5302033297 Issued in MI

Legal business name

RITE AID PHARMACY

Practice address

2003 E 12 Mile Rd
Warren, MI 48092-5642

Phone

(586) 751-3600

Fax

(586) 751-1257

NPI assigned

Jul 27, 2014

Organization subpart

No

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

Authorized official

Name

Mr. John Bozevich

Title

Pharmacy District Manager

Phone

(248) 399-4022

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1406419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406419200000",
    "number": "1093123697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925642",
            "telephone_number": "586-751-3600",
            "fax_number": "586-751-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925642",
            "telephone_number": "586-751-3600",
            "fax_number": "586-751-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-27",
        "last_updated": "2014-07-27",
        "status": "A",
        "authorized_official_last_name": "BOZEVICH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHARMACY DISTRICT MANAGER",
        "authorized_official_telephone_number": "248-399-4022",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5302033297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin M Rinke, LLMSW
• Mackenzie Ripari
• Jennifer L Rise
• Rising International LLC (focus pharmacy)
• Rite Aid of Michigan Inc (Rite Aid Pharmacy 02509)
• Rivana Medical Equipment LLC
• Shauntae Rivera
• RJ Wellness LLC
• Todd Marshall Roark, NP
• Rosemary Z Robak, RN

• Community/Retail Pharmacy in Warren, MI
• Providers in Warren, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.