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RITE AID PHARMACY 04579
NPI 1083723530
Pharmacy - Community/Retail Pharmacy in Sault Sainte Marie, MI

Active since August 29, 2006
1025 ASHMUN STREET, SAULT SAINTE MARIE, MI 49783(906) 632-6874 Get Directions Write a Review

NPPES record last updated: June 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rite Aid Pharmacy 04579 NPPES

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

RITE AID PHARMACY 04579 (NPI 1083723530) is a healthcare organization registered as a community/retail pharmacy in Sault Sainte Marie, 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

NPI1083723530
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePDS I MICHIGAN INC
Location Address1025 ASHMUN STREETSault Sainte Marie, MI 49783-2707
Mailing Address200 Newberry CommonsEtters, PA 17319-9363 · (717) 761-2633 · Fax (717) 975-8659
Phone(906) 632-6874
Organization SubpartNo
Authorized OfficialJennifer ZorekManager Online Adjudication · (717) 975-5937
Enumeration DateAugust 29, 2006
Last NPPES UpdateJune 27, 2011
✔ NPI 1083723530 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 · 5395
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
1025 ASHMUN STREET, Sault Sainte Marie, MI 49783
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Other Names 1

Doing Business AsRite Aid Pharmacy 04579

Other Identifiers 6

Medicare NSC0697570006
Medicare PINP00921938MI
Medicaid2347068MI
Medicare PIN0P19740MI
Other2347068Other Id Number
Medicare PINMI3917MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, 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 Pds I Michigan Inc's NPI number?

The NPI number for Pds I Michigan Inc is 1083723530. It was assigned to this organization in the NPPES registry on August 29, 2006. The provider is doing business as Rite Aid Pharmacy 04579.

Where is Pds I Michigan Inc located?

Pds I Michigan Inc is located at 1025 Ashmun Street, Sault Sainte Marie, MI 49783. The listed phone number is (906) 632-6874.

What is Pds I Michigan Inc's specialty?

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

What insurance does Pds I Michigan Inc accept?

Health plans from Medica and Moda Health Plan, Inc. list Pds I Michigan Inc 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 Pds I Michigan Inc was last updated on June 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.