Rite Aid of Michigan Inc
Organization Active NPI Community/Retail Pharmacy · Harrison Township, MI
NPI 1457460933 · NPPES record last updated Dec 17, 2008
Key facts
- NPI
- 1457460933
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 5301006487 (MI)
- Legal business name
- RITE AID OF MICHIGAN INC
- Practice address
- 28350 South River Road
Harrison Township, MI 48045-3011 - Phone
- (586) 463-8661
- NPI assigned
- Aug 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Jennifer Zorek
- Title
- Manager Online Adjudication
- Phone
- (717) 975-5937
Practitioners 2
-
Andrew Frank Langlois, RPH.
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
Locations
28350 S River Rd
Harrison Twp, MI 48045
Phone (586) 463-8661
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5301006487 | MI | Yes |
Addresses
Primary practice location
28350 South River Road
Harrison Township, MI 48045-3011
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2356411 | Medicaid | MI | |
| 2356411 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names
- RITE AID PHARMACY 04695
Other providers in Harrison Township, MI
- Pain and Wellness Center LLC
- Phoenix Psychotherapy Services LLC
- Annie Rao
- Keshia Bee Raynor
- Marcia Renwick
- Emily Lynn Sanders
- Shirley Sayles
- Angel Marie Seguin
- Senior Safe, LLC
- Gloria J Severini
All providers in Harrison Township, 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 Dec 17, 2008. 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.