1. Home
  2. Directory
  3. Michigan
  4. Jackson
  5. Pharmacy
  6. NPI Profile

RITE AID PHARMACY 04350
NPI 1083624373
Pharmacy - Community/Retail Pharmacy in Jackson, MI

Active since August 09, 2006
3100 EAST MICHIGAN AVENUE, JACKSON, MI 49202(517) 782-9382 Get Directions Write a Review

NPPES record last updated: August 8, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rite Aid Pharmacy 04350 NPPES

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

RITE AID PHARMACY 04350 (NPI 1083624373) is a healthcare organization registered as a community/retail pharmacy in Jackson, 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

NPI1083624373
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePERRY DRUG STORES INC AND SUBSIDIARIES
Location Address3100 EAST MICHIGAN AVENUEJackson, MI 49202-3850
Mailing Address200 Newberry CommonsEtters, PA 17319-9363 · (717) 761-2633 · Fax (717) 975-8659
Phone(517) 782-9382
Organization SubpartNo
Authorized OfficialJennifer ZorekManager Online Adjudication · (717) 975-5937
Enumeration DateAugust 9, 2006
Last NPPES UpdateAugust 8, 2008
✔ NPI 1083624373 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 · 3328
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
3100 EAST MICHIGAN AVENUE, Jackson, MI 49202
Open in Google Maps ↗

Other Names 1

Doing Business AsRite Aid Pharmacy 04350

Other Identifiers 5

Other2326583Other Id Number
Medicaid2326583MI
Medicare PINP00460010MI
Medicare NSC0694660010
Medicare PIN0P17250MI

Accepted Insurance

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

Medical Equipment Supplier Medicare DMEPOS 16

Medicare supplier enrollment and the product categories Rite Aid Pharmacy 01265 carries, from the Medicare DMEPOS supplier directory.

Rite Aid Pharmacy 01265

DMEPOS supplier · Jackson, MIOperated by Rite Aid Of Michigan Inc
⋮

Does not accept Medicare assignment

Rite Aid Pharmacy 01265 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20670809
Medicare Participant SinceJanuary 1, 1994
Supplier Location2255 S Jackson RdJackson, MI 49201
Phone(517) 780-9535
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 1083624373. It was assigned to this organization in the NPPES registry on August 9, 2006. The provider is doing business as Rite Aid Pharmacy 04350.

Where is Perry Drug Stores Inc And Subsidiaries located?

Perry Drug Stores Inc And Subsidiaries is located at 3100 East Michigan Avenue, Jackson, MI 49202. The listed phone number is (517) 782-9382.

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.

Does Perry Drug Stores Inc And Subsidiaries accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Rite Aid Pharmacy 01265 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Perry Drug Stores Inc And Subsidiaries accept?

Health plans from Medica and 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 August 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.