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RITE AID PHARMACY 03356
NPI 1619086170
Pharmacy - Community/Retail Pharmacy in Metamora, MI

Active since August 29, 2006
3939 SOUTH LAPEER ROAD, METAMORA, MI 48455(810) 678-2331 Get Directions Write a Review

NPPES record last updated: April 17, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rite Aid Pharmacy 03356 NPPES

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

RITE AID PHARMACY 03356 (NPI 1619086170) is a healthcare organization registered as a community/retail pharmacy in Metamora, 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

NPI1619086170
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameRITE AID OF MICHIGAN INC
Location Address3939 SOUTH LAPEER ROADMetamora, MI 48455-8950
Mailing Address200 Newberry CommonsEtters, PA 17319-9363 · (717) 761-2633 · Fax (717) 975-8659
Phone(810) 678-2331
Organization SubpartNo
Authorized OfficialJennifer ZorekManager Online Adjudication · (717) 975-5937
Enumeration DateAugust 29, 2006
Last NPPES UpdateApril 17, 2009
✔ NPI 1619086170 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 · 5301005768
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
3939 SOUTH LAPEER ROAD, Metamora, MI 48455
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Other Names 1

Doing Business AsRite Aid Pharmacy 03356

Other Identifiers 5

Medicaid2350205MI
Medicare PIN0P21520MI
Medicare NSC0845280085
Other2350205Other Id Number-commercial Number
Medicare PINP00460009MI

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 03356 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 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 IDO20050902000356Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 2

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.

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
11 services11 patients
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 Rite Aid Of Michigan Inc's NPI number?

The NPI number for Rite Aid Of Michigan Inc is 1619086170. It was assigned to this organization in the NPPES registry on August 29, 2006. The provider is doing business as Rite Aid Pharmacy 03356.

Where is Rite Aid Of Michigan Inc located?

Rite Aid Of Michigan Inc is located at 3939 South Lapeer Road, Metamora, MI 48455. The listed phone number is (810) 678-2331.

What is Rite Aid Of Michigan Inc's specialty?

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

Is Rite Aid Of Michigan Inc enrolled in Medicare?

Yes. Rite Aid Of Michigan Inc is registered in the Medicare PECOS enrollment system.

When is Rite Aid Of 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 February 28, 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 Rite Aid Of Michigan Inc accept?

Health plans from Moda Health Plan, Inc. list Rite Aid Of 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 Rite Aid Of Michigan Inc was last updated on April 17, 2009. 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.