NPIMap

Organization Active NPI

Rite Aid Pharmacy

  • Pharmacist
  • Kalkaska, MI
National Provider Identifier
1679987275
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302033312 Issued in MI
Legal business name
RITE AID PHARMACY
Practice address
902 N Cedar St
Kalkaska, MI 49646-8061
Phone
(231) 258-2081
NPI assigned
Jun 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Authorized official

Name
Adam Schoech
Title
Pharmacist
Phone
(231) 263-5491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 5302033312 MI Primary

Addresses

Primary practice location

902 N Cedar St
Kalkaska, MI 49646-8061

Mailing address

8528 York Rd
Kingsley, MI 49649-9739

National Provider Directory

National Provider Directory
Tax ID family
Rite Aid2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

902 N Cedar St
Kalkaska, MI 49646
Phone (231) 258-2081

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1679987275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8528 YORK RD",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "496499739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N CEDAR ST",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496468061",
            "telephone_number": "231-258-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "SCHOECH",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "231-263-5491"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302033312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalkaska, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.