Organization Active NPI

Rite Aid of Michigan Inc

Doing business as Rite Aid Pharmacy 04068

  • Community/Retail Pharmacy
  • Washington, MI
National Provider Identifier
1619117405
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RITE AID OF MICHIGAN INC
Doing business as
Rite Aid Pharmacy 04068
Practice address
63033 Van Dyke Road
Washington, MI 48095
Phone
(586) 752-8905
NPI assigned
Mar 6, 2009
Last updated
May 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Authorized official

Name
Jennifer M ZorekNPI 1205649464
Title
Manager Online Adjudication
Phone
(717) 975-5937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

63033 Van Dyke Road
Washington, MI 48095

Mailing address

200 Newberry Commons
Etters, PA 17319
Phone (717) 761-2633

Other identifiers 3

IdentifierTypeStateIssuer
2372554OtherMINCPDP
1619117405OtherMIMEDICAID DME
1619117405MedicaidMI

Other names 1

  • RITE AID PHARMACY 04068 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050902000356 MI Part B Supplier - Mass Immunization (Roster Biller Only) 0840222501 This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory

Locations (25 of 243)

402 Pointe Tremble Rd
#4943
Algonac, MI 48001
Phone (810) 794-4985

560 Jenner Dr
#1534
Allegan, MI 49010
Phone (269) 673-2181

1341 Wright Ave
#4378
Alma, MI 48801
Phone (989) 463-6111

860 N Van Dyke Rd
#7740
Almont, MI 48003
Phone (810) 798-8501

2480 Lapeer Rd
#4338
Auburn Hills, MI 48326
Phone (248) 373-7700

1434 Michigan Ave W
Battle Creek, MI 49037
Phone (269) 965-5178

1434 Michigan Ave W
#1474
Battle Creek, MI 49037
Phone (269) 965-5178

600 North Ave
Battle Creek, MI 49017
Phone (269) 963-1524

600 North Ave
#2425
Battle Creek, MI 49017
Phone (269) 963-1524

890 Michigan Ave E
Battle Creek, MI 49014
Phone (269) 660-9509

890 Michigan Ave E
#4963
Battle Creek, MI 49014
Phone (269) 660-9509

3880 Wilder Rd
#4357
Bay City, MI 48706
Phone (989) 686-5800

500 Lafayette Ave
Bay City, MI 48708
Phone (989) 852-5300

500 Lafayette Ave
#1740
Bay City, MI 48708
Phone (989) 892-5300

901 W Midland St
Bay City, MI 48706
Phone (989) 684-9370

901 W Midland St
#1576
Bay City, MI 48706
Phone (989) 684-9370

352 N Ross St
Beaverton, MI 48612
Phone (989) 435-7727

352 N Ross St
#2760
Beaverton, MI 48612
Phone (989) 435-7727

100 Covered Vlg
#1470
Belding, MI 48809
Phone (616) 794-2200

1701 M 139
Benton Harbor, MI 49022
Phone (269) 327-3101

1701 M 139
#1481
Benton Harbor, MI 49022
Phone (269) 927-3101

612 Saint Joseph Ave
Berrien Springs, MI 49103
Phone (269) 471-5020

612 Saint Joseph Ave
#3368
Berrien Springs, MI 49103
Phone (269) 471-5020

842 S State St
Big Rapids, MI 49307
Phone (231) 796-8659

842 S State St
#7810
Big Rapids, MI 49307
Phone (231) 796-8659

Practitioners & affiliated clinicians

Practitioners 638

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.

View all 638

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1619117405",
    "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": "17319",
            "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": "63033 VAN DYKE ROAD",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "48095",
            "telephone_number": "586-752-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID OF MICHIGAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "ZOREK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2372554",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "1619117405",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619117405",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 04068",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.