RITE AID PHARMACY 04500 – Community/Retail Pharmacy, NPI 1104935667
Community/Retail Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for RITE AID PHARMACY 04500
200 NEWBERRY COMMONS
ETTERS, PA 173199363
Phone: (717) 761-2633
Fax: (717) 975-8659
Type: Mailing
25100, Harper Avenue, Saint Clair Shores, Macomb County, Michigan, 48081, United States
SAINT CLAIR SHORES, MI 480812207
Phone: (586) 445-8181
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 544 | 49 | $0 |
| 0124A | Adm sarscv2 bvl 30mcg/.3ml a | 12 | 12 | $0 |
Insurance plans in this area (ZIP 17319)
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