Rite Aid of Michigan Inc
Organization Active NPI Community/Retail Pharmacy · Carson City, MI
NPI 1306955844 · NPPES record last updated Apr 17, 2009
Key facts
- NPI
- 1306955844
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 4027 (MI)
- Legal business name
- RITE AID OF MICHIGAN INC
- Practice address
- 10767 Carson City Road
M 57 and Garlock
Carson City, MI 48811-9560 - Phone
- (989) 584-3077
- NPI assigned
- Aug 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Jennifer Zorek
- Title
- Manager Online Adjudication
- Phone
- (717) 975-5937
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050902000356 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 0840222501 | This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 4027 | MI | Yes |
Addresses
Primary practice location
10767 Carson City Road
M 57 and Garlock
Carson City, MI 48811-9560
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2337144 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 2337144 | Medicaid | MI |
Other names
- RITE AID PHARMACY 01528
Other providers in Carson City, MI
- Sati S Nichols
- Joe D Patton
- Elizabeth T. Phillips
- Evelyn Laine Przybylski
- John Clemens Putz
- Luke Anthony Rohlfs
- Rosewood of Carson City
- Lisa Rozen
- Janice A Russell
- Seals Tacia & Bartz OD PC
All providers in Carson City, MI · Community/Retail Pharmacy in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.