Rite Aid of Michigan Inc
Organization Active NPI Community/Retail Pharmacy · Durand, MI
NPI 1700995263 · NPPES record last updated Apr 17, 2009
Key facts
- NPI
- 1700995263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 5742 (MI)
- Legal business name
- RITE AID OF MICHIGAN INC
- Practice address
- 8531 Lansing Highway
Durand, MI 48429-1072 - Phone
- (989) 288-3101
- NPI assigned
- Aug 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Jennifer Zorek
- Title
- Manager Online Adjudication
- Phone
- (717) 975-5937
Practitioners 2
-
James Raymond Parr, PHARMACIST
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5742 | MI | Yes |
Addresses
Primary practice location
8531 Lansing Highway
Durand, MI 48429-1072
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2349961 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 2349961 | Medicaid | MI |
Other names
- RITE AID PHARMACY 03312
Other providers in Durand, MI
- Glenn Arnold Partridge
- Cynthia A Porter
- R, W. Jones DDS, PC
- Richard Rankl
- Zachary Alan Rasmussen
- Robert & William Hass, Optometrists, Professional Corp
- Kenneth Wayne Rockwell
- Robert L Roty
- Rowe Group PLLC
- Thomas Schinzel
All providers in Durand, 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 Apr 17, 2009. 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.