Perry Drug Stores Inc and Subsidiaries

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3123 Issued in MI

Legal business name

PERRY DRUG STORES INC AND SUBSIDIARIES

Practice address

309 North Main Street
Frankenmuth, MI 48734-1113

Phone

(989) 652-2613

NPI assigned

Aug 29, 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 04507 Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 5

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

• Richard William Genson III

  • Pharmacy Technician
  • Frankenmuth, MI
  • NPI 1598330649
  NPD (past)
• Joseph Jay Jastrzembowski, RPH.

  • Pharmacist
  • Frankenmuth, MI
  • NPI 1780804518
  NPD (past)
• Barbara A Macdonald, RPH

  • Pharmacist
  • Frankenmuth, MI
  • NPI 1003106626
  NPD (past)
• Debra Ann Murday

  • Pharmacy
  • Frankenmuth, MI
  • NPI 1194305979
  NPD (past)
• Richa Patel

  • Pharmacist
  • Frankenmuth, MI
  • NPI 1013407550
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503014400000",
    "number": "1225147754",
    "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": "309 NORTH MAIN STREET",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341113",
            "telephone_number": "989-652-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY DRUG STORES INC AND SUBSIDIARIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2017-08-18",
        "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": "3123",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "3123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2335392",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2335392",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 04507",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Palmer, DPM
• Anne Parsell, MA, LPC
• Robin Partlow, PTA
• Richa Patel
• Amber Clarise Peplinski, DPT
• Laurel Petrevics, DPT
• Kimberly Dawn Pezo, PTA
• Frank Matthew Piesko, DDS
• Frank Michael Piesko, DDS
• Ryan Christopher Piesko, DDS

• Community/Retail Pharmacy in Frankenmuth, MI
• Providers in Frankenmuth, 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 18, 2017; 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.