Thrifty Payless Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY42379 Issued in CA

Legal business name

THRIFTY PAYLESS INC

Doing business as

Rite Aid Pharmacy 05658

Practice address

4077 Governor Drive
University Square
San Diego, CA 92122-2522

Phone

(858) 453-0631

NPI assigned

Aug 29, 2006

Last updated

Oct 28, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer ZorekNPI 1205649464

Title

Manager Online Adjudication

Phone

(717) 975-5937

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RITE AID PHARMACY 05658 Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer M Zorek

  • Pharmacy Technician
  • Etters, PA
  • NPI 1205649464
  Authorized official Same address or phone
• Analisa Marie Campbell

  • Pharmacy Technician
  • San Diego, CA
  • NPI 1578138319
  NPD (past)
• Janesa Marie Carreon, PHARMD

  • Pharmacist
  • San Diego, CA
  • NPI 1679241012
  NPD (past)
• Darren Akio Fujimoto, PHARM D

  • Pharmacist
  • San Diego, CA
  • NPI 1730557976
  NPD (past)
• Mehdi Khorrami, RPH

  • Pharmacist
  • San Diego, CA
  • NPI 1790005270
  NPD (past)
• Le Bach Nguyen, RPH

  • Pharmacist
  • San Diego, CA
  • NPI 1174843601
  NPD (past)
• Shaden Omar

  • Pharmacy Technician
  • San Diego, CA
  • NPI 1346995677
  NPD (past)
• Jeffrey Pond

  • Pharmacy Technician
  • San Diego, CA
  • NPI 1942951595
  NPD (past)
• Ranim Touma

  • Pharmacist
  • San Diego, CA
  • NPI 1821685926
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1033228556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEWBERRY COMMONS",
            "city": "ETTERS",
            "state": "PA",
            "postal_code": "173199363",
            "telephone_number": "717-761-2633",
            "fax_number": "717-975-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4077 GOVERNOR DRIVE",
            "address_2": "UNIVERSITY SQUARE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222522",
            "telephone_number": "858-453-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIFTY PAYLESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "ZOREK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER ONLINE ADJUDICATION",
        "authorized_official_telephone_number": "717-975-5937"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY42379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA423790",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0517132",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 05658",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia Thrasher
• Phoenix Thrasher
• Three Versions Inc
• Lisa Thrift-Blatnica, BCCC
• Preston P. Thrift, IDC, RN
• Thrifty Payless Inc (Rite Aid Pharmacy 06711)
• Thrifty Payless Inc (Rite Aid Pharmacy 05651)
• Thrifty Payless Inc (Rite Aid Pharmacy 05665)
• Thrifty Payless Inc (Rite Aid Pharmacy 05653)
• Thrifty Payless Inc (Rite Aid Pharmacy 05647)

• Community/Retail Pharmacy in San Diego, CA
• Providers in San Diego, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.