RITE AID PHARMACY 04502
NPI 1417066937
Pharmacy - Community/Retail Pharmacy in Tawas City, MI

Active since August 29, 2006
211 WEST LAKE STREET, TAWAS CITY, MI 48763(989) 362-3439 Get Directions Write a Review

NPPES record last updated: March 16, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rite Aid Pharmacy 04502 NPPES

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

RITE AID PHARMACY 04502 (NPI 1417066937) is a healthcare organization registered as a community/retail pharmacy in Tawas City, 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

NPI1417066937
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePERRY DRUG STORES INC AND SUBSIDIARIES
Location Address211 WEST LAKE STREETTawas City, MI 48763-9305
Mailing Address200 Newberry CommonsEtters, PA 17319-9363 · (717) 761-2633 · Fax (717) 975-8659
Organization SubpartNo
Authorized OfficialJennifer ZorekManager Online Adjudication · (717) 975-5937
Enumeration DateAugust 29, 2006
Last NPPES UpdateMarch 16, 2009
NPI 1417066937 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 · 0082
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
211 WEST LAKE STREET, Tawas City, MI 48763

Other Names 1

Doing Business AsRite Aid Pharmacy 04502

Other Identifiers 5

Other2315314Other Id Number Commercial Number
Medicaid2315314MI
Medicare NSC0694660065
Medicare PINP00460010MI
Medicare PIN0P17250MI

Accepted Insurance

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
13 services13 patients

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 1417066937. It was assigned to this organization in the NPPES registry on August 29, 2006. The provider is doing business as Rite Aid Pharmacy 04502.

Where is Perry Drug Stores Inc And Subsidiaries located?

Perry Drug Stores Inc And Subsidiaries is located at 211 West Lake Street, Tawas City, MI 48763. The listed phone number is (989) 362-3439.

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 Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company 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 March 16, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.