Rite Aid of Michigan Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

4277 Issued in MI

Legal business name

RITE AID OF MICHIGAN INC

Doing business as

Rite Aid Pharmacy 01663

Practice address

419 West Main Street
Gaylord, MI 49735-1859

Phone

(989) 732-5220

NPI assigned

Aug 29, 2006

Last updated

Apr 17, 2009By 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

Manager Online Adjudication

Phone

(717) 975-5937

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RITE AID PHARMACY 01663 Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 7

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
• Joshua James Barraw, PHARMD

  • Pharmacist
  • Petoskey, MI
  • NPI 1376985119
  NPD (past)
• Stefanie J Clemens

  • Pharmacy Technician
  • Gaylord, MI
  • NPI 1275295438
  NPD (past)
• Nicholas House, PHARM.D.

  • Pharmacist
  • Gaylord, MI
  • NPI 1235749862
  NPD (past)
• Dustin Huss, PHARM. D

  • Pharmacist
  • Gaylord, MI
  • NPI 1750795340
  NPD (past)
• Wanyu Lambiv, RPH

  • Pharmacist
  • Gaylord, MI
  • NPI 1043660038
  NPD (past)
• Ethan Pennywitt, PHARMD

  • Pharmacist
  • Gaylord, MI
  • NPI 1023738077
  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": "1239926400000",
    "number": "1669581112",
    "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": "717-776-1263",
            "fax_number": "717-975-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 WEST MAIN STREET",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351859",
            "telephone_number": "989-732-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID OF MICHIGAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2009-04-17",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "4277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2339441",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2339441",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 01663",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Retirement Living Management of Gaylord L.L.C. (Aspen Ridge)
• Priscilla Rice
• Katelyn Richardson, LLMSW
• Catherine Anne Richter, RDH
• Aaron Robert Rieder
• Allison Ann Robbins
• Shannon Ann Roberts
• Jaime Lee Robinson, LPN
• Reese Kaydence Robinson
• Emma Elizabeth Rodgers-Biebuyck, D.O.

• Community/Retail Pharmacy in Gaylord, MI
• Providers in Gaylord, 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 17, 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.