Rite Aid Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

380-85-8390 Issued in MI

Legal business name

RITE AID PHARMACY

Practice address

4652 W Houghton Lake Rd
Houghton Lake, MI 48629

Phone

(989) 366-9212

NPI assigned

Aug 21, 2014

Organization subpart

No

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

Authorized official

Name

Kristina Ferguson

Title

Administrative Assistant

Phone

(989) 705-1395

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1871992271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6885 SECTION RD",
            "city": "OTTAWA LAKE",
            "state": "MI",
            "postal_code": "492679551",
            "telephone_number": "419-787-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4652 W HOUGHTON LAKE RD",
            "city": "HOUGHTON LAKE",
            "state": "MI",
            "postal_code": "48629",
            "telephone_number": "989-366-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "989-705-1395"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "380-85-8390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Lynn Pratt, RDH
• Sarah Marie Purol, LMSW
• Loretta Marie Quinnan, PHD, ATC
• Christine Ann Riley, LLMSW
• Rebekah Danielle Riley, LLBSW
• Melissa Roberts, OTRL
• Rex M. Ross, RPH
• Mary Joanne Rowley, CERTIFIED PEER
• Ann L Rushlow, PTA
• Joshua Aaron Scott, PHARM D

• Community/Retail Pharmacy in Houghton Lake, MI
• Providers in Houghton Lake, 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 Aug 21, 2014; 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.