RITE AID PHARMACY 04302
NPI 1063521342
Pharmacy - Community/Retail Pharmacy in Pontiac, MI

Q: What is Perry Drug Stores Inc And Subsidiaries's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since August 30, 2006

1186 BALDWIN AVENUE, PONTIAC, MI 48340(248) 333-7057 Get Directions Write a Review

NPPES record last updated: November 4, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Rite Aid Pharmacy 04302 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RITE AID PHARMACY 04302 (NPI 1063521342) is a healthcare organization registered as a community/retail pharmacy in Pontiac, Michigan and active in the NPI registry since August 2006. The organization lists Jennifer Zorek, Manager Online Adjudication, as its authorized official.

NPPES Registry Identity

NPI1063521342

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NamePERRY DRUG STORES INC AND SUBSIDIARIES

Location Address1186 BALDWIN AVENUEPontiac, MI 48340-1909

Mailing Address200 Newberry CommonsEtters, PA 17319-9363 · (717) 761-2633 · Fax (717) 975-8659

Phone(248) 333-7057

Organization SubpartNo

Authorized OfficialJennifer ZorekManager Online Adjudication · (717) 975-5937

Enumeration DateAugust 30, 2006

Last NPPES UpdateNovember 4, 2008

✔ NPI 1063521342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in MI · 759

Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

1186 BALDWIN AVENUE, Pontiac, MI 48340

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Other Names 1

Doing Business AsRite Aid Pharmacy 04302

Other Identifiers 5

Medicaid2303927MI

Medicare PIN0P17240MI

Medicare NSC0694660128

Other2303927Other Id Number-commercial Number

Medicare PINP00460010MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Perry Drug Stores Inc And Subsidiaries's NPI number?

The NPI number for Perry Drug Stores Inc And Subsidiaries is 1063521342. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is doing business as Rite Aid Pharmacy 04302.

Where is Perry Drug Stores Inc And Subsidiaries located?

Perry Drug Stores Inc And Subsidiaries is located at 1186 Baldwin Avenue, Pontiac, MI 48340. The listed phone number is (248) 333-7057.

What is Perry Drug Stores Inc And Subsidiaries's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Perry Drug Stores Inc And Subsidiaries accept?

Health plans from Moda Health Plan, Inc. list Perry Drug Stores Inc And Subsidiaries as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Perry Drug Stores Inc And Subsidiaries was last updated on November 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.