Rite Aid of Michigan Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301004343 Issued in MI

Legal business name

RITE AID OF MICHIGAN INC

Practice address

101 South Morenci Street
Mio, MI 48647-2508

Phone

(989) 826-3737

NPI assigned

Aug 29, 2006

Organization subpart

No

Name

Jennifer Zorek

Title

Manager Online Adjudication

Phone

(717) 975-5937

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Daniel Graebner, R.PH

  • Pharmacist
  • Mio, MI
  • NPI 1457644262
  NPD (past)
• Justin Kuhns, PHARM.D.

  • Pharmacist
  • Mio, MI
  • NPI 1144635194
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in MI

• RITE AID PHARMACY 01715 Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 17, 2009.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1104935659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEWBERRY COMMONS",
            "city": "ETTERS",
            "state": "PA",
            "postal_code": "173199363",
            "telephone_number": "717-761-2633",
            "fax_number": "717-975-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SOUTH MORENCI STREET",
            "city": "MIO",
            "state": "MI",
            "postal_code": "486472508",
            "telephone_number": "989-826-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID OF MICHIGAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "ZOREK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER ONLINE ADJUDICATION",
        "authorized_official_telephone_number": "717-975-5937"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301004343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2339996",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2339996",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 01715",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Lee Nurse, BA, CMHP, QMHP, QIDP
• O'Cats Transit
• Kaitlyn Oates, LMSW
• Jerry Parker
• Pioneer Family Pharmacy Inc
• Holly Stoner
• Thunder Bay Community Health Service, Inc
• Thunder Bay Community Health Service, Inc
• Joan M Tootle, D.D.S.
• Holly Wight

• All providers in Mio, MI
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.