Perry Drug Stores Inc and Subsidiaries

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3405 Issued in MI

Legal business name

PERRY DRUG STORES INC AND SUBSIDIARIES

Doing business as

Rite Aid Pharmacy 04487

Practice address

3050 Union Lake Road
Commerce Township, MI 48382-4509

Phone

(248) 363-4392

NPI assigned

Aug 29, 2006

Last updated

Jul 16, 2015By 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

Sr Manager Provider Enrollment

Phone

(717) 975-5937

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RITE AID PHARMACY 04487 Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations (25 of 142)

Practitioners 288

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
• Dheyaa Abdulhadi

  • Pharmacist
  • Keego Harbor, MI
  • NPI 1194339234
  NPD (past)
• Farah Abdulkareem

  • Pharmacist
  • Lansing, MI
  • NPI 1154839827
  NPD (past)
• Shahneela S Abidi, B.PHARM

  • Pharmacist
  • Farmington Hills, MI
  • NPI 1013135953
  NPD (past)
• Mufutau G Adegunlola, R.PH

  • Pharmacist
  • Detroit, MI
  • NPI 1447484589
  NPD (past)
• Yusuf Aftab

  • Pharmacist
  • Flint, MI
  • NPI 1053000398
  NPD (past)
• Humayoun Ahmed, PHARMD

  • Pharmacist
  • Royal Oak, MI
  • NPI 1952919649
  NPD (past)
• Saima Ahsan

  • Pharmacist
  • Oak Park, MI
  • NPI 1205153673
  NPD (past)
• Olaolu A Akinbiyi, B.PHARM

  • Pharmacist
  • Pontiac, MI
  • NPI 1225151103
  NPD (past)
• Ahmad Munir Al Rubaie, PHARM.D.

  • Pharmacist
  • Lansing, MI
  • NPI 1063006237
  NPD (past)
• Marwa Al Washah

  • Pharmacist
  • Garden City, MI
  • NPI 1265019640
  NPD (past)
• Nassir Al-Bassam, BSC, PHD

  • Pharmacist
  • Highland, MI
  • NPI 1710278551
  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": "1437004800000",
    "number": "1871602391",
    "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": "3050 UNION LAKE ROAD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824509",
            "telephone_number": "248-363-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY DRUG STORES INC AND SUBSIDIARIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "ZOREK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SR MANAGER PROVIDER ENROLLMENT",
        "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": "3405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2327662",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2327662",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 04487",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alan Elliot Parven, O.D.
• Vikash Patel, MD
• Rocio Patton, CF-SLP
• Brett Pelowski, DO
• William Robert Pence, RPH
• Bret Peters, DPT
• Erica Peterson, OTRL
• Jennifer Lynn Petronella, DPM
• Noura Petrous
• Luba Petrusha, MD

• Community/Retail Pharmacy in Commerce Township, MI
• Providers in Commerce Township, 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 Jul 16, 2015; 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.