Perry Drug Stores Inc and Subsidiaries

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301004498 Issued in MI

Legal business name

PERRY DRUG STORES INC AND SUBSIDIARIES

Practice address

4350 Dixie Highway
Waterford, MI 48329-3511

Phone

(248) 674-0466

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer M Zorek

Title

Manager Online Adjudication

Phone

(717) 975-5937

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RITE AID PHARMACY 04476 Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 6

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

• Kelly Louise Burger

  • Pharmacy Technician
  • Waterford, MI
  • NPI 1497486021
  NPD (past)
• Katie Lenore Clancy, RN

  • Registered Nurse
  • Waterford, MI
  • NPI 1689258949
  NPD (past)
• Sarah Kokosa

  • Pharmacist
  • Waterford, MI
  • NPI 1902210271
  NPD (past)
• Hanadi Lee Thomas

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Waterford, MI
  • NPI 1811266562
  NPD (past)
• Callistus Umelogu

  • Pharmacy Technician
  • Waterford, MI
  • NPI 1154094456
  NPD (past)
• Sarah York

  • Pharmacist
  • Waterford, MI
  • NPI 1306463146
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1992717698",
    "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": "17319",
            "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": "4350 DIXIE HIGHWAY",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483293511",
            "telephone_number": "248-674-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY DRUG STORES INC AND SUBSIDIARIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "ZOREK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER ONLINE ADJUDICATION",
        "authorized_official_telephone_number": "717-975-5937",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5301004498",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301004498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2341294",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2341294",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 04476",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Perfect Solutions Inc
• Janet Perkins, HIS
• Maureen Barrett Perko, MSW
• Perry Drug Stores Inc and Subsidiaries
• Perry Drug Stores Inc and Subsidiaries
• Brian Perry
• Olinda Patricia Perry
• Andrea Perteet
• Sadeer Peter, M.D
• Lyn Peyton, PHD

• Community/Retail Pharmacy in Waterford, MI
• Providers in Waterford, 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 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.

Verify at the official NPI Registry.