Rite Aid of Michigan Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301007496 Issued in MI

Legal business name

RITE AID OF MICHIGAN INC

Practice address

11801 North Saginaw Street
Mount Morris, MI 48458-1503

Phone

(810) 686-7106

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Zorek

Title

Manager Online Adjudication

Phone

(717) 975-5937

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RITE AID PHARMACY 07736 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.

• Heba Azzam

  • Pharmacist
  • Mount Morris, MI
  • NPI 1881374585
  NPD (past)
• Sanjay Sureshchandra Jain

  • Pharmacist
  • Mount Morris, MI
  • NPI 1447743109
  NPD (past)
• Kimberly Jean Manning, CPHT

  • Pharmacy Technician
  • Mount Morris, MI
  • NPI 1194426726
  NPD (past)
• Habiba Meharich

  • Pharmacist
  • Mount Morris, MI
  • NPI 1215414206
  NPD (past)
• Shreenath Shah, PHARM D

  • Pharmacist
  • Mount Morris, MI
  • NPI 1164837860
  NPD (past)
• Lindsay Nicole Yarnall

  • Pharmacy Technician
  • Mount Morris, MI
  • NPI 1184296857
  NPD (past)
• Ali Zeitoun

  • Pharmacist
  • Mount Morris, MI
  • NPI 1659979284
  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": "1831208321",
    "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": "11801 NORTH SAGINAW STREET",
            "city": "MOUNT MORRIS",
            "state": "MI",
            "postal_code": "484581503",
            "telephone_number": "810-686-7106"
        }
    ],
    "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301007496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2363377",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2363377",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 07736",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deantanea Ratcliff
• Amanda Reinhardt
• Reliant Renal Care - Mt. Morris, LLC
• Rem Michigan LLC
• Res-Care Premier, Inc.
• Kayla Rockwell
• Pamela Denise Ross, BS CAC-1
• Kaylee Marie Rowe
• Royalnest Care Services LLC
• Sacred Heart Rehabilitation Center, Inc

• All providers in Mount Morris, MI
• 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.