RITE AID OF MICHIGAN INC (NPI# 1932218492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932218492 |
Entity Type | Organization |
Organization Name | RITE AID OF MICHIGAN INC |
Other Organization Name | RITE AID PHARMACY 03510 |
Practice Address |
337 North State Road Otisville MI 48463-9486 |
Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
Practice Telephone | 8106314551 |
Mailing Telephone | 7177612633 |
Mailing Fax Number | 7179758659 |
Enumeration Date | 2006-08-29 |
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 |
5301005893 | MI | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OTHER ID NUMBER-COMMERCIAL NUMBER | 2351358 | 01 | |
MI | 2351358 | 05 |
Other Name | Type Code |
---|---|
RITE AID PHARMACY 03510 | 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 |
337 NORTH STATE ROAD |
City | OTISVILLE |
State | MI |
Zip Code | 48463-9486 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568554681 | Great Lakes Family Dental Group - Otisville, P.C. | Dentist | 380 N State, Otisville, MI 48463 | 2006-09-28 |
1285696682 | George Mohamedally Do PC | Family Medicine | 387 North State, Otisville, MI 48463 | 2006-04-03 |
1407376536 | Kelsey Jo Penix | Counselor | 9445 Patricia Dr, Otisville, MI 48463-9406 | 2017-06-20 |
1760972806 | Jimmy Dale Colley Jr. | Occupational Therapist | 9179 Frances Rd, Otisville, MI 48463-9411 | 2018-05-15 |
1285124537 | Dennys Pharmacy LLC | Pharmacy | 410 N State Rd, Otisville, MI 48463-9443 | 2018-05-12 |
1114313459 | Shelly Denise Hatchew | Physical Therapy Assistant | 9099 Dodge Rd, Otisville, MI 48463-9449 | 2015-04-14 |
1780859363 | Thomas W Wood | Pharmacist | 337 N State Rd, Otisville, MI 48463-9486 | 2008-04-24 |
1669503991 | Mary Joy Dela Rosa | Physical Therapist | 391 N State Rd, Suite A, Otisville, MI 48463-9486 | 2007-03-08 |
1760574974 | William E Norton II | Dentist | 380 N State Rd, Otisville, MI 48463-9486 | 2006-09-28 |
1518579853 | Tijo Thomas Manthuruthil | Pharmacist | 337 N State Rd, Otisville, MI 48463-9486 | 2020-08-18 |
Find all providers in zip 48463 |
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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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.