RITE AID OF MICHIGAN INC (NPI# 1104935659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104935659 |
| Entity Type | Organization |
| Organization Name | RITE AID OF MICHIGAN INC |
| Other Organization Name | RITE AID PHARMACY 01715 |
| Practice Address |
101 South Morenci Street Mio MI 48647-2508 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 9898263737 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2009-04-17 |
| Authorized Official Name | JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION) |
| Authorized Official Telephone | 7179755937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301004343 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2339996 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2339996 | 01 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 01715 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619117405 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 63033 Van Dyke Road, Washington, MI 48095 | 2009-03-06 |
| 1184875825 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 59010 Gratiot Avenue, New Haven, MI 48048-2073 | 2008-09-30 |
| 1346406576 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 51691 10 Mile Road, South Lyon, MI 48178-9720 | 2008-08-07 |
| 1184803702 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 111 East Saginaw Street, East Lansing, MI 48823-2737 | 2007-10-31 |
| 1528269172 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 75 South Dexter Street, Pinckney, MI 48169-9071 | 2007-05-30 |
| 1851417836 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 4151 South Canton Center Road, Canton, MI 48188-2489 | 2007-03-22 |
| 1649334251 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 42481 West 13 Mile Road, Novi, MI 48377-2009 | 2006-12-20 |
| 1205906013 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 5751 Clarkston Road, Clarkston, MI 48348-4707 | 2006-11-09 |
| 1336251453 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 2489 East Lansing Road, East Lansing, MI 48823-9712 | 2006-08-31 |
| 1407966310 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 600 North Avenue, Battle Creek, MI 49017-3249 | 2006-08-30 |
| Street Address |
101 SOUTH MORENCI STREET |
| City | MIO |
| State | MI |
| Zip Code | 48647-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831480490 | Terrence Lee Krumbach | Pharmacist | 101 South Morenci, Rite Aid Discount Pharmacy #1715, Mio, MI 48647 | 2011-04-29 |
| 1588961502 | Debra K Alderton Pattullo | Counselor | 831 W. Miller Road, Mcog, Mio, MI 48647 | 2011-02-28 |
| 1982735999 | James Stephens Mangutz | Dentist | 107 E. Eighth St., Mio, MI 48647 | 2007-03-08 |
| 1053690438 | Mclaren Bay Region | Internal Medicine | 558 Lockwood Ln, Mio, MI 48647 | 2011-08-16 |
| 1467719252 | Michigan Physical Therapy, Inc. | Clinic/Center | 124 South Morenci Street, Mio, MI 48647-1032 | 2012-04-18 |
| 1063493989 | Pioneer Family Pharmacy Inc | Pharmacy | 114 South Morenci Ave, Mio, MI 48647-1060 | 2005-11-08 |
| 1700212479 | Family Fitness and Rehabilitation, LLC | Clinic/Center | 122 S Morenci Ave Ste A, Mio, MI 48647-2508 | 2013-09-25 |
| 1457644262 | Richard Daniel Graebner | Pharmacist | 101 S Morenci Ave, Mio, MI 48647-2508 | 2011-05-26 |
| 1164755187 | Angie A. Miller | Pharmacist | 114 S Morenci Ave, Mio, MI 48647-2508 | 2009-09-09 |
| 1043358393 | Michigan Institute of Rehabilitative Services, Inc | Clinic/Center | 122 S. Morenci Avenue, Mio, MI 48647-2508 | 2007-02-01 |
| Find all providers in zip 48647 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063493989 | Pioneer Family Pharmacy Inc | Pharmacy | 114 South Morenci Ave, Mio, MI 48647-1060 | 2005-11-08 |
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| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.