Organization Active NPI

Rite Aid Pharmacy

  • Pharmacist
  • Portland, MI
National Provider Identifier
1740632694
Registry record updated Jul 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302040864 Issued in MI
Legal business name
RITE AID PHARMACY
Practice address
1339 E Grand River Ave
Portland, MI 48875-1629
Phone
(517) 647-4704
NPI assigned
Jul 4, 2016
Last updated
Jul 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2016

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

Authorized official

Name
Monica Nemeth
Title
Staff Pharmacist
Phone
(989) 390-6248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302040864 MI Primary

Addresses

Primary practice location

1339 E Grand River Ave
Portland, MI 48875-1629

Mailing address

1339 E Grand River Ave
Portland, MI 48875-1629

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1467590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467590400000",
    "number": "1740632694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 E GRAND RIVER AVE",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488751629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 E GRAND RIVER AVE",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488751629",
            "telephone_number": "517-647-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-04",
        "last_updated": "2016-07-04",
        "status": "A",
        "authorized_official_last_name": "NEMETH",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "STAFF PHARMACIST",
        "authorized_official_telephone_number": "989-390-6248"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302040864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2016; 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.