RITE AID OF MICHIGAN INC (NPI# 1174545289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174545289 |
| Entity Type | Organization |
| Organization Name | RITE AID OF MICHIGAN INC |
| Other Organization Name | RITE AID PHARMACY 01466 |
| Practice Address |
1029 Four Mile Road Northwest Grand Rapids MI 49544-1504 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 6167844400 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-07-25 |
| 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 |
5301003962 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2336421 | 05 | |
| OTHER ID NUMBER | 2336421 | 01 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 01466 | 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 |
1029 FOUR MILE ROAD NORTHWEST |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49544-1504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764511 | Titiana Shanee Richardson | Social Worker | 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 | 2020-09-15 |
| 1699317792 | Leah Grace Nesburg | Speech-Language Pathologist | 600 3 Mile Road Nw, Suite 102, Walker, MI 49544 | 2019-10-10 |
| 1316467954 | Hendrik Vanholsbeeck | Dentist | 2515 Alpine Ave Nw # A, Grand Rapids, MI 49544 | 2017-06-25 |
| 1467988584 | Leah Feenstra | Behavior Technician | 668 3 Mile Nw, Grand Rapids, MI 49544 | 2017-05-10 |
| 1760920698 | Heidi Catherine Stultz-griffey | Pharmacist | 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 | 2017-02-12 |
| 1336591791 | Nicole Totten | Dentist | 3320 Alpine Ave., Grand Rapids, MI 49544 | 2016-07-11 |
| 1255789145 | Lucas David Kelley | Technician, Other | 668 3 Mile Ave Nw, Suite 2, Grand Rapids, MI 49544 | 2016-06-01 |
| 1144611666 | Stephen Kornoely | Social Worker | 2118 3 Mile Road Nw, Grand Rapids, MI 49544 | 2015-02-06 |
| 1023368305 | Brian William Rogers | Registered Nurse | 712 North Center Dr. Nw, Grand Rapids, MI 49544 | 2012-09-14 |
| 1477885325 | Wilson and Wynn Interventions | Community/Behavioral Health | 680 Three Mile Nw, Suite 150, Grand Rapids, MI 49544 | 2010-02-03 |
| Find all providers in zip 49544 | ||||
| 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 |
|---|---|---|---|---|
| 1518504091 | East Paris Pharmacy, LLC | Pharmacy | 2060 E Paris Ave Se Ste 102, Grand Rapids, MI 49546-6113 | 2019-12-04 |
| 1588229058 | Grand Rapids Rx LLC | Pharmacy | 1000 E Paris Ave Se Ste 104, Grand Rapids, MI 49546-3680 | 2019-05-09 |
| 1073950994 | Cet Pharmacy Grand Rapids LLC | Pharmacy | 2060 E Paris Ave Se Ste 110, Grand Rapids, MI 49546-6113 | 2013-06-01 |
| 1619209004 | Family Fare, LLC | Pharmacy | 2022 Apple Orchard Dr Ne, Grand Rapids, MI 49525-9785 | 2010-02-10 |
| 1235257387 | Cancer and Hematology Centers of Western Mi, P.C. | Pharmacy | 145 Michigan Ave Ne, Suite 3100, Grand Rapids, MI 49503 | 2007-03-27 |
| 1720160518 | Nudak Ventures LLC | Pharmacy | 417 Nw 1st Ave, Grand Rapids, MN 55744-2617 | 2006-10-20 |
| 1871693218 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 1155 Fuller Ave Ne, Grand Rapids, MI 49503-1362 | 2006-09-25 |
| 1114027448 | Family Fare, LLC | Pharmacy | 1225 Leonard St Ne, Grand Rapids, MI 49505-5510 | 2006-09-25 |
| 1760582092 | Family Fare, LLC | Pharmacy | 5241 Northland Dr Ne, Grand Rapids, MI 49525-1041 | 2006-09-25 |
| 1679673909 | Family Fare, LLC | Pharmacy | 2755 Lake Michigan Dr Nw, Grand Rapids, MI 49504-5872 | 2006-09-25 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49544 |
Please comment or provide details below to improve the information on RITE AID OF MICHIGAN INC.
| 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.