RITE AID OF MICHIGAN INC (NPI# 1205850559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205850559 |
| Entity Type | Organization |
| Organization Name | RITE AID OF MICHIGAN INC |
| Other Organization Name | RITE AID PHARMACY 04740 |
| Practice Address |
1339 East Grand River Avenue Portland MI 48875-1629 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 5176474704 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2008-10-06 |
| 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 |
5301006502 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2356308 | 05 | |
| OTHER ID NUMBER | 2356308 | 01 |
| Other Name | Type Code |
|---|---|
| Rite Aid Pharmacy 04740 | 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 |
1339 EAST GRAND RIVER AVENUE |
| City | PORTLAND |
| State | MI |
| Zip Code | 48875-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750635025 | Gretchen Findlay | Speech-Language Pathologist | 1330 E. Grand River Ave., Suite B, Portland, MI 48875 | 2012-11-07 |
| 1902970734 | Roger Duane Miller | Dentist | 811 West Grand River Ave, Portland, MI 48875 | 2006-11-20 |
| 1174612618 | Tom's Pharmacy LLC | Pharmacy | 1462 E Grand River Ave, Portland, MI 48875 | 2006-10-12 |
| 1033168828 | Jami M. Schneider | Dentist | 119 Bridge St., Portland, MI 48875 | 2006-05-09 |
| 1134197593 | Charlene Ann Pahl | Social Worker | 212 Kent St Ste 5, Child and Family Wellness Counseling Ctr, Portland, MI 48875 | 2006-03-10 |
| 1932187911 | Suzanne R Maystead | Optometrist | 1311 E Bridge Street, Portland, MI 48875 | 2006-01-09 |
| 1407143811 | Nicole Ann Mccrumb | Pharmacist | 1339 E Grand River Ave, Portland, MI 48875 | 2011-07-06 |
| 1629617402 | Roger A Doak | Specialist/Technologist | 1100 Ionia Rd, Portland, MI 48875-1035 | 2019-12-27 |
| 1518312032 | Brenda Hiemstra | Technician, Other | 120 Bethel Dr, Portland, MI 48875-1104 | 2016-05-03 |
| 1750574950 | Judy Ann Fryover | Nurse Practitioner | 427 W Grand River Ave, Portland, MI 48875-1122 | 2007-08-21 |
| Find all providers in zip 48875 | ||||
| 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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| 1649800186 | A & S Pharmacy LLC | Pharmacy | 1660 Wildcat Dr, Portland, TX 78374-2830 | 2020-01-23 |
| 1508337577 | Oregon Health & Science University | Pharmacy | 3303 Sw Bond Ave Rm 1090, Portland, OR 97239-4501 | 2018-12-17 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1538653654 | Division Pharmacy Inc. | Pharmacy | 10918 Se Division St, Portland, OR 97266-1259 | 2018-06-21 |
| 1659755593 | Portland Professional Pharmacy, LLC | Pharmacy | 11717 Ne Glisan St, Portland, OR 97220-2141 | 2015-07-09 |
| 1992194062 | Professionl Pharmacy | Pharmacy | 10000 Se Main St Ste 201, Portland, OR 97216-2448 | 2015-01-13 |
| 1932597978 | Pharmaca Integrative Pharmacy, Inc | Pharmacy | 240 Nw Lost Springs Terrace, Suite 36, Portland, OR 97229 | 2014-12-29 |
| Find all providers in PORTLAND | ||||
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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.