PERRY DRUG STORES INC AND SUBSIDIARIES (NPI# 1174530018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174530018 |
| Entity Type | Organization |
| Organization Name | PERRY DRUG STORES INC AND SUBSIDIARIES |
| Other Organization Name | RITE AID PHARMACY 04343 |
| Practice Address |
G-3009 South Dort Highway Burton MI 48529-1017 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 8107428409 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2009-03-16 |
| 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 |
3245 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2322612 | 01 | |
| MI | 2322612 | 05 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 04343 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699846246 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 5983 Highland Road, Waterford, MI 48327-1868 | 2006-11-13 |
| 1063521342 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 1186 Baldwin Avenue, Pontiac, MI 48340-1909 | 2006-08-30 |
| 1528177805 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 66998 Van Dyke Road, Washington, MI 48095-2001 | 2006-08-30 |
| 1962511246 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 100 East Vienna Road, Clio, MI 48420-1421 | 2006-08-30 |
| 1508975400 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 33480 Seven Mile Road, Livonia, MI 48152-3002 | 2006-08-30 |
| 1972612257 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 3273 West Huron Street, Waterford, MI 48328-3009 | 2006-08-30 |
| 1053420331 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 557 North Cedar Street, Imlay City, MI 48444-1165 | 2006-08-30 |
| 1144339425 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 610 North Cedar Street, Suite A, Mason, MI 48854-1017 | 2006-08-30 |
| 1417066796 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 37165 Groesbeck Highway, Parkway Plaza, Clinton Township, MI 48036-2315 | 2006-08-30 |
| 1699884973 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 1022 West Genesee Street, Lapeer, MI 48446-1798 | 2006-08-30 |
| Street Address |
G-3009 SOUTH DORT HIGHWAY |
| City | BURTON |
| State | MI |
| Zip Code | 48529-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245874551 | Tonya Mary Lott | Nurse Practitioner | 3375 S. Saginaw St, Burton, MI 48529 | 2019-10-30 |
| 1093241028 | Christie Bigelow | Behavior Technician | 4476 South Dort Hwy, Burton, MI 48529 | 2017-05-11 |
| 1164961033 | Strive Center for Autism LLC | Behavioral Analyst | 4476 S Dort Hwy, Burton, MI 48529 | 2017-02-13 |
| 1013382357 | Joy Sandy | Nurse Practitioner | 3525 Saginaw Road, Burton, MI 48529 | 2015-12-12 |
| 1407253206 | Caring Hands Home Health Services | Home Health | G-3163 Flushing Road, 208, Flint, MI 48529 | 2014-11-24 |
| 1427489293 | Shauna Renee Miller | Physician Assistant | G-3375 S Saginaw St, Burton, MI 48529 | 2013-12-04 |
| 1801234521 | Amy Lyn Gomez | Registered Nurse | 1336 Allen St, Burton, MI 48529 | 2013-06-05 |
| 1285962720 | Burton Pharmacy Inc | Pharmacy | 3375 S Saginaw St, Burton, MI 48529 | 2009-11-20 |
| 1912128919 | Juliette Marie Perzhinsky | Internal Medicine | 3525 Saginaw Rd., Burton, MI 48529 | 2007-05-01 |
| 1639153075 | Loretta Catherine Nimmo | Nurse Practitioner | 3373 S. Saginaw St, Burton, MI 48529 | 2005-11-30 |
| Find all providers in zip 48529 | ||||
| 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 |
|---|---|---|---|---|
| 1760742019 | Hamilton Community Health Network Inc | Pharmacy | G3375 S Saginaw St, Burton, MI 48529-1277 | 2012-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477389 | Rose Rex LLC | Pharmacy | 2330 S Milford Rd Ste 114, Highland, MI 48357-4982 | 2020-11-08 |
| 1508466194 | Grand Gratiot Pharmacy, LLC | Pharmacy | 7011 Gratiot Ave Ste 100, Detroit, MI 48207-1973 | 2020-10-31 |
| 1104424530 | Advance Care Rx, LLC | Pharmacy | 500 N Cass St, Berrien Springs, MI 49103-1069 | 2020-10-16 |
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1881292001 | Healthwatch Pharmacy Inc | Pharmacy | 1375 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1421 | 2020-10-09 |
| 1225645781 | Good Choice Pharmacy LLC | Pharmacy | 6750 E 10 Mile Rd, Center Line, MI 48015-1166 | 2020-09-29 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1851905707 | Skidway Pharmacy LLC | Pharmacy | 1830 Greenwood Rd, Prescott, MI 48756-8627 | 2020-09-08 |
| 1023621190 | Azam Mohsen Mesleh | Pharmacy | 6811 Theisen St, Dearborn, MI 48126-1927 | 2020-08-28 |
| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PERRY DRUG STORES INC AND SUBSIDIARIES.
| 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.