Organization Active NPI

Rite Aid

  • Community/Retail Pharmacy
  • Grand Blanc, MI
National Provider Identifier
1184092769
Registry record updated Sep 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5302040182 Issued in MI
Legal business name
RITE AID
Practice address
11609 S Saginaw St
Grand Blanc, MI 48439-1354
Phone
(810) 694-4983
NPI assigned
Sep 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2015

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

Authorized official

Name
Christopher Gjerovski, PHARM.D
Title
Pharmacist
Phone
(586) 242-3389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5302040182 MI Primary

Addresses

Primary practice location

11609 S Saginaw St
Grand Blanc, MI 48439-1354

Mailing address

11609 S Saginaw St
Grand Blanc, MI 48439-1354

National Provider Directory

National Provider Directory
Tax ID family
Rite Aid80 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

11609 S Saginaw St
Grand Blanc, MI 48439
Phone (810) 694-4611

NPI Registry JSON

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

{
    "created_epoch": "1442102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442102400000",
    "number": "1184092769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11609 S SAGINAW ST",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11609 S SAGINAW ST",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391354",
            "telephone_number": "810-694-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-13",
        "last_updated": "2015-09-13",
        "status": "A",
        "authorized_official_last_name": "GJEROVSKI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "586-242-3389",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5302040182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.