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

RITE AID PHARMACY 04567
NPI 1548379092
Pharmacy - Community/Retail Pharmacy in Ludington, MI

Active since August 29, 2006
936 EAST LUDINGTON AVENUE, LUDINGTON, MI 49431(231) 845-7332 Get Directions Write a Review

NPPES record last updated: June 27, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rite Aid Pharmacy 04567 NPPES

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

RITE AID PHARMACY 04567 (NPI 1548379092) is a healthcare organization registered as a community/retail pharmacy in Ludington, 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

NPI1548379092
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePDS I MICHIGAN INC
Location Address936 EAST LUDINGTON AVENUELudington, MI 49431-2438
Mailing Address200 Newberry CommonsEtters, PA 17319-9363 · (717) 761-2633 · Fax (717) 975-8659
Phone(231) 845-7332
Organization SubpartNo
Authorized OfficialJennifer ZorekManager Online Adjudication · (717) 975-5937
Enumeration DateAugust 29, 2006
Last NPPES UpdateJune 27, 2011
✔ NPI 1548379092 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 · 5301005383
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
936 EAST LUDINGTON AVENUE, Ludington, MI 49431
Open in Google Maps ↗

Other Names 1

Doing Business AsRite Aid Pharmacy 04567

Other Identifiers 6

Medicaid2346941MI
Medicare NSC0697570012
Medicare PINMI3917MI
Other2346941Other Id Number
Medicare PIN0P19740MI
Medicare PINP00921938MI

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rite Aid Pharmacy 04567 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20050725000709Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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.
11 services11 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 Pds I Michigan Inc's NPI number?

The NPI number for Pds I Michigan Inc is 1548379092. It was assigned to this organization in the NPPES registry on August 29, 2006. The provider is doing business as Rite Aid Pharmacy 04567.

Where is Pds I Michigan Inc located?

Pds I Michigan Inc is located at 936 East Ludington Avenue, Ludington, MI 49431. The listed phone number is (231) 845-7332.

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.

Is Pds I Michigan Inc enrolled in Medicare?

Yes. Pds I Michigan Inc is registered in the Medicare PECOS enrollment system.

When is Pds I Michigan Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Mass Immunization (Roster Biller Only)) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Pds I Michigan Inc accept?

Health plans from 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.