PERRY DRUG STORES INC AND SUBSIDIARIES (NPI# 1144339425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144339425 |
| Entity Type | Organization |
| Organization Name | PERRY DRUG STORES INC AND SUBSIDIARIES |
| Other Organization Name | RITE AID PHARMACY 04323 |
| Practice Address |
610 North Cedar Street Suite A Mason MI 48854-1017 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 5176764421 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-08-30 |
| 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 |
3003 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2305921 | 01 | |
| MI | 2305921 | 05 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 04323 | 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 |
| 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 |
| 1699885582 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 1089 North Wisner Street, Jackson, MI 49202-3143 | 2006-08-30 |
| Street Address |
610 NORTH CEDAR STREET SUITE A |
| City | MASON |
| State | MI |
| Zip Code | 48854-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669919205 | Michael Metcalf | Behavior Technician | 3470 Josephine Lane, Mason, MI 48854 | 2017-01-20 |
| 1891160511 | Carol Heckaman | Social Worker | 818 Charrington Ct., Mason, MI 48854 | 2015-12-07 |
| 1730588765 | Katherine Reeber | Social Worker | 2950 W Howell Rd, Mason, MI 48854 | 2014-08-14 |
| 1417383746 | Melissa F Baker | Counselor | 855 Eaton Drive, Mason, MI 48854 | 2013-09-18 |
| 1881940922 | Jennifer K Ogle | Social Worker | 118 W Oak St Ste 202, Mason, MI 48854 | 2012-07-26 |
| 1326260944 | Douglas W Gray Dds | Dentist | 230 S Temple St, Mason, MI 48854 | 2007-05-03 |
| 1043378185 | Timothy Joseph Zielinski | Dentist | 640 Wash, Mason, MI 48854 | 2006-12-04 |
| 1578635470 | Barbara Ann Begian | Physician Assistant | 790 East Columbia, Care Free Medical Inc, Mason, MI 48854 | 2006-11-15 |
| 1528015336 | University Rehabilitation Alliance, Inc. | Custodial Care Facility | 3181 Sandhill Rd., Mason, MI 48854 | 2006-05-27 |
| 1669428827 | Jeffrey Scott Deweerd | Family Medicine | 710 Temple St, Mason, MI 48854 | 2006-05-26 |
| Find all providers in zip 48854 | ||||
| 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] |
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|---|---|---|---|---|
| 1881238798 | Mercy Health Cincinnati LLC | Pharmacy | 7160 Industrial Row Dr Ste 331, Mason, OH 45040-1695 | 2019-11-04 |
| 1821655051 | Future Gate Enterprises LLC | Pharmacy | 7920 S Mason Montgomery Rd, Mason, OH 45040-8249 | 2019-05-22 |
| 1821124108 | Walgreen Co | Pharmacy | 8060 S Mason Montgomery Rd, Mason, OH 45040-9597 | 2007-02-23 |
| 1891899621 | Ohio Cvs Stores LLC | Pharmacy | 5525 Parkside Dr, Mason, OH 45040-2211 | 2006-09-12 |
| 1134134133 | Walgreen Co | Pharmacy | 1086 Reading Rd, Mason, OH 45040-1399 | 2006-07-29 |
| 1033416854 | Skilled Care Direct LLC | Pharmacy | 6175 Hi Tek Ct, Mason, OH 45040-2603 | 2011-02-14 |
| 1538477526 | Quality Care Pharmacy | Pharmacy | 566 N Cedar St, Mason, MI 48854-1015 | 2010-09-23 |
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|---|---|---|---|---|
| 1609477389 | Rose Rex LLC | Pharmacy | 2330 S Milford Rd Ste 114, Highland, MI 48357-4982 | 2020-11-08 |
| 1508466194 | Grand Gratiot Pharmacy, LLC | Pharmacy | 7011 Gratiot Ave Ste 100, Detroit, MI 48207-1973 | 2020-10-31 |
| 1104424530 | Advance Care Rx, LLC | Pharmacy | 500 N Cass St, Berrien Springs, MI 49103-1069 | 2020-10-16 |
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1881292001 | Healthwatch Pharmacy Inc | Pharmacy | 1375 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1421 | 2020-10-09 |
| 1225645781 | Good Choice Pharmacy LLC | Pharmacy | 6750 E 10 Mile Rd, Center Line, MI 48015-1166 | 2020-09-29 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1851905707 | Skidway Pharmacy LLC | Pharmacy | 1830 Greenwood Rd, Prescott, MI 48756-8627 | 2020-09-08 |
| 1023621190 | Azam Mohsen Mesleh | Pharmacy | 6811 Theisen St, Dearborn, MI 48126-1927 | 2020-08-28 |
| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
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| 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.