RITE AID OF MICHIGAN INC (NPI# 1205859923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205859923 |
| Entity Type | Organization |
| Organization Name | RITE AID OF MICHIGAN INC |
| Other Organization Name | RITE AID PHARMACY 04239 |
| Practice Address |
6535 Paw Paw Avenue Coloma MI 49038-8805 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 2694683858 |
| 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 |
006192 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2353857 | 05 | |
| OTHER ID NUMBER | 2353857 | 01 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 04239 | 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 |
6535 PAW PAW AVENUE |
| City | COLOMA |
| State | MI |
| Zip Code | 49038-8805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528494135 | Gerald Carl Thiele | Hearing Instrument Specialist | 6693 Red Arrow Hwy, Coloma, MI 49038 | 2013-09-16 |
| 1518283100 | Jeffrey Thomas Perrapato | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6270 Lakewood Pointe Drive, Coloma, MI 49038 | 2010-04-08 |
| 1316123102 | Moss Chiropractic Clinic P.C. | Chiropractor | 429 N. Paw Paw Street, Coloma, MI 49038 | 2008-01-11 |
| 1386848745 | Daniel A Iliff | Chiropractor | 6560 Red Arrow Highway, Coloma, MI 49038 | 2007-06-12 |
| 1598711939 | Darlene Suzanne Bruner-getz | Dentist | 213 N Paw Paw St, Coloma, MI 49038 | 2006-05-26 |
| 1194295782 | Jeremy B Shelley | Physical Therapist | 7040 Red Arrow Hwy, Coloma, MI 49038 | 2018-11-27 |
| 1265898878 | Brandi Smith | Nurse Practitioner | 6701 Paw Paw Ave, Coloma, MI 49038 | 2016-01-12 |
| 1144866906 | Healing Counseling Services LLC | Social Worker | 6572 Red Arrow Hwy Ste 2, Coloma, MI 49038-8700 | 2019-11-26 |
| 1457540908 | Red Arrow Family Practice | General Practice | 6500 Red Arrow Hwy, Coloma, MI 49038-8700 | 2007-10-22 |
| 1962562397 | Susan L Startup | Social Worker | 6560 Red Arrow Hwy, Coloma, MI 49038-8700 | 2006-12-08 |
| Find all providers in zip 49038 | ||||
| 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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| 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.