PERRY DRUG STORES INC AND SUBSIDIARIES (NPI# 1831109123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831109123 |
| Entity Type | Organization |
| Organization Name | PERRY DRUG STORES INC AND SUBSIDIARIES |
| Other Organization Name | RITE AID PHARMACY 04346 |
| Practice Address |
5811 Telegraph Road Taylor MI 48180-1214 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 3132912697 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-10-27 |
| 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 |
6152 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER | 2353629 | 01 | |
| MI | 2353629 | 05 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 04346 | 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 |
5811 TELEGRAPH ROAD |
| City | TAYLOR |
| State | MI |
| Zip Code | 48180-1214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920288 | Kenneth Harlan | Physical Therapist | 22606 Northline Rd., Taylor, MI 48180 | 2019-03-12 |
| 1790270916 | Ryan Thomas Sankovic | Physical Medicine & Rehabilitation | 10000 Telegraph Road, Taylor, MI 48180 | 2018-06-29 |
| 1538658026 | Deborah Moseley | Physical Therapist | 21308 Eureka Rd, Taylor, MI 48180 | 2018-05-09 |
| 1366944837 | Cheryl Lee Ivie | Nurse Practitioner | 26650 Eureka Rd Suite C, Taylor, MI 48180 | 2018-03-01 |
| 1619407376 | Markesha Lynn Smith | Case Manager/Care Coordinator | 26550 Eureka Road, Suite C, Taylor, MI 48180 | 2017-06-15 |
| 1376072645 | Chris James Clark | Massage Therapist | 11178 Katrine, Taylor, MI 48180 | 2017-06-08 |
| 1245767151 | Alexandre John Mazar | Student in an Organized Health Care Education/Training Program | 10000 Telegraph Road - Beaumont Taylor Hospital, Physical Medicine and Rehabilitation Department, Taylor, MI 48180 | 2017-05-23 |
| 1063949030 | Jared David Mccallum | Physical Medicine & Rehabilitation | Beaumont Hospital, Taylor - Attn: Chris L Birkenhauer, 10000 Telegraph Ro, Taylor, MI 48180 | 2017-05-22 |
| 1972039667 | Chante Lowman | Specialist/Technologist | 23774 Crisler St., Taylor, MI 48180 | 2017-05-02 |
| 1477003036 | Latricia Osborne | Licensed Practical Nurse | 94060e. Pickwick Circle, Taylor, MI 48180 | 2016-10-07 |
| Find all providers in zip 48180 | ||||
| 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 |
|---|---|---|---|---|
| 1447735220 | Wellness Health Mart LLC | Pharmacy | 11780 Telegraph Rd Ste 110, Taylor, MI 48180-6861 | 2018-09-27 |
| 1437664893 | Maxcare Rx LLC | Pharmacy | 7847 Telegraph Rd, Taylor, MI 48180-2235 | 2017-12-07 |
| 1598039877 | Elite Rx Inc | Pharmacy | 25418 Goddard Rd, Taylor, MI 48180-6200 | 2012-03-03 |
| 1578667374 | Cvs Pharmacy Inc | Pharmacy | 1609 N Main St, Taylor, TX 76574-3008 | 2006-09-12 |
| 1326140617 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 22300 Goddard Rd, Taylor, MI 48180-4234 | 2006-09-05 |
| 1235241167 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 22000 Ecorse Rd, Taylor, MI 48180-1848 | 2006-08-31 |
| 1194833558 | R & V Drugs, Inc | Pharmacy | 23241 Eureka Rd, Taylor, MI 48180-5240 | 2006-08-27 |
| 1285645580 | True Care Pharmacy Inc | Pharmacy | 21225 Ecorse Rd, Taylor, MI 48180-1834 | 2006-08-11 |
| 1174124846 | Tay Rex LLC | Pharmacy | 27260 Eureka Rd, Taylor, MI 48180-4845 | 2020-11-08 |
| 1932728375 | Samdumu International LLC | Pharmacy | 1001 N Main St, Taylor, TX 76574-3233 | 2020-04-15 |
| Find all providers in TAYLOR | ||||
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.