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RITE AID PHARMACY 04586
NPI 1649389107
Pharmacy - Community/Retail Pharmacy in Traverse City, MI

Active since August 29, 2006
1104 E FRONT ST, TRAVERSE CITY, MI 49686(231) 941-5332 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rite Aid Pharmacy 04586 NPPES

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

RITE AID PHARMACY 04586 (NPI 1649389107) is a healthcare organization registered as a community/retail pharmacy in Traverse 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

NPI1649389107
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePDS I MICHIGAN INC
Location Address1104 E FRONT STTraverse City, MI 49686-9999
Mailing Address200 Newberry CommonsEtters, PA 17319-9363 · (717) 761-2633 · Fax (717) 975-8659
Phone(231) 941-5332
Organization SubpartNo
Authorized OfficialJennifer ZorekManager Online Adjudication · (717) 975-5937
Enumeration DateAugust 29, 2006
Last NPPES UpdateNovember 13, 2020
NPPES CertifiedNovember 13, 2020
✔ NPI 1649389107 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 · 5301006125
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
1104 E FRONT ST, Traverse City, MI 49686
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Other Names 1

Doing Business AsRite Aid Pharmacy 04586

Other Identifiers 2

Other2353148Other Id Number
Medicaid2353148MI

Accepted Insurance

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

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.
14 services14 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.
14 services14 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN HOFFMAN PHARMD
Student in an Organized Health Care Education/Training Program
1104 E FRONT ST
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 941-5332
GARY EDWARD BATES JR.
Pharmacy Technician
1104 E FRONT ST
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 941-5332

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 1649389107. It was assigned to this organization in the NPPES registry on August 29, 2006. The provider is doing business as Rite Aid Pharmacy 04586.

Where is Pds I Michigan Inc located?

Pds I Michigan Inc is located at 1104 E Front St, Traverse City, MI 49686. The listed phone number is (231) 941-5332.

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 November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.