Perry Drug Stores Inc and Subsidiaries

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5936 Issued in MI

Legal business name

PERRY DRUG STORES INC AND SUBSIDIARIES

Practice address

43034 Dequindre Road
Sterling Heights, MI 48314-1722

Phone

(586) 254-1021

NPI assigned

Jul 25, 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 04389 Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alaa Edwar Garabet, RPH

  • Pharmacist
  • Sterling Heights, MI
  • NPI 1194036699
  NPD (past)
• Vidya Krishnamurthy, RN

  • Registered Nurse
  • Sterling Heights, MI
  • NPI 1033790886
  NPD (past)
• Sarah Polina, PHAMD

  • Pharmacist
  • Sterling Heights, MI
  • NPI 1316423825
  NPD (past)
• Shatha Yousif

  • Pharmacy Technician
  • Sterling HTS, MI
  • NPI 1184315087
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1912920455",
    "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": "43034 DEQUINDRE ROAD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141722",
            "telephone_number": "586-254-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY DRUG STORES INC AND SUBSIDIARIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2017-12-12",
        "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": "5936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2351891",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2351891",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 04389",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Periodontal Specialties
• Vinoth Periyasamy, MPT
• Julia Elizabeth Perks
• Spencer William Perri, LMT
• Perry Drug Stores Inc and Subsidiaries
• Barbara Jean Perry, OTRL
• Paul F Perse, OD
• Personal Home Care Medical Equipment
• Perspectives of Troy, P.C.
• Peter R Pashley D.O.,P.C

• Community/Retail Pharmacy in Sterling Heights, MI
• Providers in Sterling Heights, 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 Dec 12, 2017; 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.