RITE AID CORPORATION
NPI 1912196759
Pharmacy - Community/Retail Pharmacy in Etters, PA

Q: What is Pds I Michigan Inc's NPI number?

The NPI number for Pds I Michigan Inc is 1912196759. It was assigned to this organization in the NPPES registry on October 17, 2007. The provider is doing business as Rite Aid Corporation.

Q: 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.

Active since October 17, 2007

200 NEWBERRY COMMONS, ETTERS, PA 17319(717) 761-2633 Get Directions Write a Review

NPPES record last updated: January 21, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Rite Aid Corporation NPPES

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

RITE AID CORPORATION (NPI 1912196759) is a healthcare organization registered as a community/retail pharmacy in Etters, Pennsylvania and active in the NPI registry since October 2007. The organization lists Jennifer Zorek, Manager Online Adjudication, as its authorized official.

NPPES Registry Identity

NPI1912196759

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NamePDS I MICHIGAN INC

Location Address200 NEWBERRY COMMONSEtters, PA 17319-9363

Mailing AddressPo Box 371115Pittsburgh, PA 15250-7115 · (717) 761-2633 · Fax (717) 975-8659

Phone(717) 761-2633

Organization SubpartNo

Authorized OfficialJennifer ZorekManager Online Adjudication · (717) 975-5937

Enumeration DateOctober 17, 2007

Last NPPES UpdateJanuary 21, 2019

✔ NPI 1912196759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

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

200 NEWBERRY COMMONS, Etters, PA 17319

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Other Names 1

Doing Business AsRite Aid Corporation

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rite Aid Corporation 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.

Other Providers at the Same Location NPPES 20

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

RITE AID OF MARYLAND INC

Pharmacy (Community/Retail Pharmacy)