Active NPI
Thrifty Payless Inc
Doing business as Rite Aid Pharmacy 06486
- Community/Retail Pharmacy
- San Jacinto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY48771
- Legal business name
- THRIFTY PAYLESS INC
- Doing business as
- Rite Aid Pharmacy 06486
- Practice address
- 1180 North State Street
San Jacinto, CA 92583-6318 - Phone
- (951) 487-1915
- NPI assigned
- Aug 30, 2007
- Last updated
- Oct 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Zorek
- Title
- Manager Online Adjudication
- Phone
- (717) 975-5937
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY48771 | CA | Primary |
Addresses
Primary practice location
1180 North State Street
San Jacinto, CA 92583-6318
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA487710 | Medicaid | CA | |
| 5628029 | Other | OTHER ID NUMBER |
Other names 1
- RITE AID PHARMACY 06486
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110309000350 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7719979095 | This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
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.
-
- Pharmacy Technician
- Etters, PA
- NPI 1205649464
-
- Pharmacist
- San Jacinto, CA
- NPI 1457755993
-
- Pharmacist
- San Jacinto, CA
- NPI 1306304415
-
- Pharmacist
- San Jacinto, CA
- NPI 1942520580
-
- Pharmacist
- San Jacinto, CA
- NPI 1366759813
-
- Pharmacist
- Moreno Valley, CA
- NPI 1922875806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319500800000",
"number": "1033303284",
"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": "1180 NORTH STATE STREET",
"city": "SAN JACINTO",
"state": "CA",
"postal_code": "925836318",
"telephone_number": "951-487-1915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIFTY PAYLESS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-30",
"last_updated": "2011-10-25",
"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": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY48771",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA487710",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "5628029",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RITE AID PHARMACY 06486",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Jacinto, CA
- Kirk Terranova
- The Rose of Sharon7 Divine Intervention Recovery
- The Rose of Sharon7,Inc. (Divine Intervention Recovery)
- Elizabeth Lena Thomas
- Ladailon J Thompson, NP
- Thrifty Payless Inc (Rite Aid Pharmacy 06293)
- Raghu Nanda Tiperneni, MD
- Tobias Moeller-Bertram MD Corporation (Lifekind Health)
- Vanessa Marina Toral
- Elizabeth Torres
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.