PERRY DRUG STORES INC AND SUBSIDIARIES (NPI# 1003925561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003925561 |
| Entity Type | Organization |
| Organization Name | PERRY DRUG STORES INC AND SUBSIDIARIES |
| Other Organization Name | RITE AID PHARMACY 04429 |
| Practice Address |
6791 Cascade Road Southeast Grand Rapids MI 49546-6849 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 6162854710 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2009-03-16 |
| Authorized Official Name | JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION) |
| Authorized Official Telephone | 7179755937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
6089 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2352918 | 01 | |
| MI | 2352918 | 05 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 04429 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699846246 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 5983 Highland Road, Waterford, MI 48327-1868 | 2006-11-13 |
| 1063521342 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 1186 Baldwin Avenue, Pontiac, MI 48340-1909 | 2006-08-30 |
| 1528177805 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 66998 Van Dyke Road, Washington, MI 48095-2001 | 2006-08-30 |
| 1962511246 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 100 East Vienna Road, Clio, MI 48420-1421 | 2006-08-30 |
| 1508975400 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 33480 Seven Mile Road, Livonia, MI 48152-3002 | 2006-08-30 |
| 1972612257 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 3273 West Huron Street, Waterford, MI 48328-3009 | 2006-08-30 |
| 1053420331 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 557 North Cedar Street, Imlay City, MI 48444-1165 | 2006-08-30 |
| 1144339425 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 610 North Cedar Street, Suite A, Mason, MI 48854-1017 | 2006-08-30 |
| 1417066796 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 37165 Groesbeck Highway, Parkway Plaza, Clinton Township, MI 48036-2315 | 2006-08-30 |
| 1699884973 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 1022 West Genesee Street, Lapeer, MI 48446-1798 | 2006-08-30 |
| Street Address |
6791 CASCADE ROAD SOUTHEAST |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-6849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504091 | East Paris Pharmacy, LLC | Pharmacy | 2060 E Paris Ave Se Ste 102, Grand Rapids, MI 49546-6113 | 2019-12-04 |
| 1588229058 | Grand Rapids Rx LLC | Pharmacy | 1000 E Paris Ave Se Ste 104, Grand Rapids, MI 49546-3680 | 2019-05-09 |
| 1073950994 | Cet Pharmacy Grand Rapids LLC | Pharmacy | 2060 E Paris Ave Se Ste 110, Grand Rapids, MI 49546-6113 | 2013-06-01 |
| 1619209004 | Family Fare, LLC | Pharmacy | 2022 Apple Orchard Dr Ne, Grand Rapids, MI 49525-9785 | 2010-02-10 |
| 1235257387 | Cancer and Hematology Centers of Western Mi, P.C. | Pharmacy | 145 Michigan Ave Ne, Suite 3100, Grand Rapids, MI 49503 | 2007-03-27 |
| 1720160518 | Nudak Ventures LLC | Pharmacy | 417 Nw 1st Ave, Grand Rapids, MN 55744-2617 | 2006-10-20 |
| 1871693218 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 1155 Fuller Ave Ne, Grand Rapids, MI 49503-1362 | 2006-09-25 |
| 1114027448 | Family Fare, LLC | Pharmacy | 1225 Leonard St Ne, Grand Rapids, MI 49505-5510 | 2006-09-25 |
| 1760582092 | Family Fare, LLC | Pharmacy | 5241 Northland Dr Ne, Grand Rapids, MI 49525-1041 | 2006-09-25 |
| 1679673909 | Family Fare, LLC | Pharmacy | 2755 Lake Michigan Dr Nw, Grand Rapids, MI 49504-5872 | 2006-09-25 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on PERRY DRUG STORES INC AND SUBSIDIARIES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.