Perry Drug Stores Inc and Subsidiaries

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2441 Issued in MI

Legal business name

PERRY DRUG STORES INC AND SUBSIDIARIES

Practice address

360 North Martin Luther King Jr Boulevard
Pontiac, MI 48342-1712

Phone

(248) 335-0602

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Zorek

Title

Manager Online Adjudication

Phone

(717) 975-5937

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RITE AID PHARMACY 04301 Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 6

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

• Olaolu A Akinbiyi, B.PHARM

  • Pharmacist
  • Pontiac, MI
  • NPI 1225151103
  NPD (past)
• Ryan Philip Browne, PHARMD

  • Pharmacist
  • Pontiac, MI
  • NPI 1801063557
  NPD (past)
• Mark Hanna, PHARM. D.

  • Pharmacist
  • Pontiac, MI
  • NPI 1639583230
  NPD (past)
• Scott Gerald Kohn

  • Pharmacist
  • Pontiac, MI
  • NPI 1730314857
  NPD (past)
• Charles Michael Naylor, PHARMACY TECHNICIAN

  • Pharmacy Technician
  • Pontiac, MI
  • NPI 1952978538
  NPD (past)
• Mohamad Rayess

  • Pharmacist
  • Pontiac, MI
  • NPI 1649883638
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1154430437",
    "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": "360 NORTH MARTIN LUTHER KING JR BOULEVARD",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483421712",
            "telephone_number": "248-335-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY DRUG STORES INC AND SUBSIDIARIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-08-08",
        "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": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "2441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2303915",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2303915",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 04301",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susie Noemi Perez
• Perfecting Lifestyles LLC
• Karla Andreina Perozo Nunez, MD
• Meghan Perrault, LPC, CAADC
• Perry Drug Stores Inc and Subsidiaries
• Perry MLK Medical Center P.C.
• Dorene Lajuan Perry
• Rex Truman Perry
• Morgan Perryman, MD
• Perrys Save on Pharmacy

• Community/Retail Pharmacy in Pontiac, MI
• Providers in Pontiac, 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 Aug 8, 2008; 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.