Perry Drug Stores Inc and Subsidiaries

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3854 Issued in MI

Legal business name

PERRY DRUG STORES INC AND SUBSIDIARIES

Doing business as

Rite Aid Pharmacy 04395

Practice address

4410 South Division Avenue
Kentwood, MI 49548-4305

Phone

(616) 532-9241

NPI assigned

Aug 9, 2006

Last updated

Apr 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer ZorekNPI 1205649464

Title

Sr Manager Provider Enrollment

Phone

(717) 975-5937

Specialties & licenses 2

Addresses

Other names 1

• RITE AID PHARMACY 04395 Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer M Zorek

  • Pharmacy Technician
  • Etters, PA
  • NPI 1205649464
  Authorized official Same address or phone
• Uyen Tran Nghi Nguyen, PHARMACIST

  • Pharmacist
  • Kentwood, MI
  • NPI 1952421489
  NPD (past)
• Christina Susan Oisten, R.PH.

  • Pharmacist
  • Kentwood, MI
  • NPI 1962530030
  NPD (past)
• Lince Thomas, PHARMD

  • Pharmacist
  • Grand Rapids, MI
  • NPI 1497276778
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1447260591",
    "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": "4410 SOUTH DIVISION AVENUE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495484305",
            "telephone_number": "616-532-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY DRUG STORES INC AND SUBSIDIARIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "ZOREK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SR MANAGER PROVIDER ENROLLMENT",
        "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": "3854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 04395",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pediatric Associates of Kentwood
• Pediatric Partners PLC
• Nora Christine Peirano, PA
• Josh Pelton, BCBA
• Nichole Lynn Penny, R.PH.
• Kassandra Peruski, PHARM.D.
• Elizabeth Peshia, RD
• Peter S Vasiu DO PC
• Debra Ann Peters, LMSW, LPC
• Emma McKeown Peterson

• Community/Retail Pharmacy in Kentwood, MI
• Providers in Kentwood, 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 Apr 1, 2014; 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.