Rite Aid of Michigan Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301004671 Issued in MI

Legal business name

RITE AID OF MICHIGAN INC

Doing business as

Rite Aid Pharmacy 01772

Practice address

1010 East Center Street
Ithaca, MI 48847-1618

Phone

(989) 875-3380

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 01772 Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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
• Beth M Johnson, PHARMD

  • Pharmacist
  • Ithaca, MI
  • NPI 1083903991
  NPD (past)
• Kalpesh P Lad, PHARMD

  • Pharmacist
  • Ithaca, MI
  • NPI 1851656326
  NPD (past)
• Nilay K Parikh

  • Pharmacist
  • Ithaca, MI
  • NPI 1558765917
  NPD (past)
• Tiantaya Perry

  • Pharmacist
  • Ithaca, MI
  • NPI 1356896104
  NPD (past)
• Jeffrey Charles Spalding, PHARMD

  • Pharmacist
  • Ithaca, MI
  • NPI 1831604453
  NPD (past)
• Teressa Annette Yordy

  • Pharmacy Technician
  • Ithaca, MI
  • NPI 1295308997
  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": "1730298282",
    "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": "717-761-2633",
            "fax_number": "717-975-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 EAST CENTER STREET",
            "city": "ITHACA",
            "state": "MI",
            "postal_code": "488471618",
            "telephone_number": "989-875-3380"
        }
    ],
    "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301004671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2342412",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2342412",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 01772",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pine River Dental Care
• Donald Graham Prouty, M.D.
• Putman Dental PLLC (Pine River Dental Care)
• Brian Joseph Putman, D.D.S.
• Jenna Putman
• Rosewood I & Rosewood II
• Gary Allen Schluckebier, DDS
• Hillary Agnes Shemes, D.O.
• Megan Rose Silvers
• Leslie Skiera, D.P.T.

• Community/Retail Pharmacy in Ithaca, MI
• Providers in Ithaca, 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.