Rite Aid of Michigan Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301006431 Issued in MI

Legal business name

RITE AID OF MICHIGAN INC

Doing business as

Rite Aid Pharmacy 04599

Practice address

1589 Haslett Road
Shoptown Center
Haslett, MI 48840-8424

Phone

(517) 339-5832

NPI assigned

Aug 9, 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 04599 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
• Sarah Maxine Eischer

  • Pharmacy Technician
  • Haslett, MI
  • NPI 1396463592
  NPD (past)
• Alex Gargano, PHARM D

  • Pharmacist
  • Haslett, MI
  • NPI 1366855330
  NPD (past)
• Tina Kakish

  • Pharmacist
  • Haslett, MI
  • NPI 1922639491
  NPD (past)
• Ramy Mana, PHARMD

  • Pharmacist
  • East Lansing, MI
  • NPI 1427722107
  NPD (past)
• Brian A Stoddard, R.PH.

  • Pharmacist
  • Haslett, MI
  • NPI 1083832471
  NPD (past)
• Bailey Morgan Warwick

  • Pharmacy Technician
  • Haslett, MI
  • NPI 1588230965
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1811907082",
    "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": "1589 HASLETT ROAD",
            "address_2": "SHOPTOWN CENTER",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408424",
            "telephone_number": "517-339-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID OF MICHIGAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "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": "5301006431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2355712",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2355712",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 04599",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter B Wollschlaeger Medical PLLC
• Dominique Phelps, CNM
• Joanna Poynter, LPTA
• Red Cedar Surgery Center, LLC
• Reed and Flax
• Carolyn Tobey Roath, LMSW
• Salem Medical Resources & Supplies LLC
• Gregory David Shannon, MD
• Nancy Jean Shannon, MD, PHD
• Janet Sharp

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