RITE AID OF MICHIGAN INC (NPI# 1184875825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184875825 |
| Entity Type | Organization |
| Organization Name | RITE AID OF MICHIGAN INC |
| Other Organization Name | RITE AID PHARMACY 04022 |
| Practice Address |
59010 Gratiot Avenue New Haven MI 48048-2073 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 5867490009 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2009-08-05 |
| Authorized Official Name | JENNIFER M 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 |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | DME | 1184875825 | 01 |
| MI | 2371742 | 05 | |
| MI | MEDICAID DME | 1184875825 | 01 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 04022 | 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 |
| 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 |
| 1639289556 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 6026 Lapeer Road, Burton, MI 48509-2215 | 2006-08-30 |
| Street Address |
59010 GRATIOT AVENUE |
| City | NEW HAVEN |
| State | MI |
| Zip Code | 48048-2073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255847893 | Heather Fonville | Licensed Practical Nurse | 3201 E. Cranston, New Haven, MI 48048 | 2017-12-19 |
| 1205251295 | Adrianne Jones Steiner | Counselor | 58144 Gratiot Ave., New Haven, MI 48048 | 2014-02-27 |
| 1679773659 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 36865 26 Mile Rd, Lenox, MI 48048 | 2007-07-19 |
| 1588761506 | Charles Joseph Sobers | Dentist | 58144 Gratiot, Suite #316, New Haven, MI 48048 | 2006-09-20 |
| 1659352409 | Kimberly H Thompson | Family Medicine | 58144 Gratiot Ave, New Haven, MI 48048 | 2005-11-09 |
| 1679571392 | Downriver Community Services, Inc. | Clinic/Center | 58144 Gratiot Avenue, New Haven, MI 48048 | 2005-07-08 |
| 1770138398 | Corey Soper | Social Worker | 58144 Gratiot Ave, New Haven, MI 48048 | 2019-08-09 |
| 1285293837 | Rachael Vernon | Dentist | 58144 Gratiot Ave, New Haven, MI 48048 | 2019-06-07 |
| 1386135879 | Alisa Puvalowski | Dental Hygienist | 58144 Gratiot Ave, New Haven, MI 48048 | 2018-05-21 |
| 1013448067 | Aaron William Cloutier | Family Medicine | 58144 Gratiot Ave, New Haven, MI 48048 | 2017-03-22 |
| Find all providers in zip 48048 | ||||
| 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] |
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| 1689964272 | Hancock Pharmacy At Long Wharf Inc | Pharmacy | 1 Long Wharf Dr Ste 116, New Haven, CT 06511-5991 | 2011-04-15 |
| 1578666202 | Hook Superx LLC | Pharmacy | 115 State Road 930 E, New Haven, IN 46774-1359 | 2006-09-07 |
| 1962982652 | New Haven Pharmacy LLC | Pharmacy | 307 5th St, New Haven, WV 25265-4100 | 2018-08-21 |
| 1295032449 | Downriver Community Services Inc | Pharmacy | 58144 Gratiot Ave, New Haven, MI 48048 | 2011-02-24 |
| 1629396403 | Hancock Pharmacy Vii LLC | Pharmacy | 306 Grand Ave, New Haven, CT 06513-3730 | 2010-05-04 |
| 1518172451 | Cornell Scott-hill Health Corporation | Pharmacy | 428 Columbus Ave, New Haven, CT 06519 | 2007-05-14 |
| 1750423471 | Cornell Scott Hill Health Corporation | Pharmacy | 428 Columbus Ave, New Haven, CT 06519-1233 | 2007-02-12 |
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| 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 | ||||
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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.