Active NPI
Perry Drug Stores Inc and Subsidiaries
- Community/Retail Pharmacy
- Novi, MI
National Provider Identifier
1932218484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 4141
- Legal business name
- PERRY DRUG STORES INC AND SUBSIDIARIES
- Practice address
- 41820 West Ten Mile Road
Novi Ten Shopping Center
Novi, MI 48375-3386 - Phone
- (248) 349-6150
- NPI assigned
- Aug 29, 2006
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 4141 | MI | Primary |
Addresses
Primary practice location
41820 West Ten Mile Road
Novi Ten Shopping Center
Novi, MI 48375-3386
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2338487 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 2338487 | Medicaid | MI |
Other names 1
- RITE AID PHARMACY 04534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050614000979 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 3476597121 | This NPI is an additional NPI on the enrollment |
| O20050819000067 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 9830129832 |
33 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Detroit, MI; Dowagiac, MI; Dearborn, MI; Farmington Hills, MI; Fenton, MI; Houghton Lake, MI; Livonia, MI; Mount Clemens, MI… |
Other NPIs on the same Medicare enrollment 27
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225065600000",
"number": "1932218484",
"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": "41820 WEST TEN MILE ROAD",
"address_2": "NOVI TEN SHOPPING CENTER",
"city": "NOVI",
"state": "MI",
"postal_code": "483753386",
"telephone_number": "248-349-6150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERRY DRUG STORES INC AND SUBSIDIARIES",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2008-10-27",
"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": "4141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "2338487",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2338487",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RITE AID PHARMACY 04534",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; 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.