Thrifty Payless Inc
Organization Active NPI Community/Retail Pharmacy · Agoura Hills, CA
NPI 1043329451 · NPPES record last updated Oct 26, 2011
Key facts
- NPI
- 1043329451
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHY42487 (CA)
- Legal business name
- THRIFTY PAYLESS INC
- Practice address
- 5747 Kanan Road
Agoura Hills, CA 91301-1601 - Phone
- (818) 991-5258
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Jennifer Zorek
- Title
- Manager Online Adjudication
- Phone
- (717) 975-5937
Practitioners 6
-
Cindy Trish Mai, PHARM. D
-
Randall Rodriguez, RPH
-
Artin Shahbazian, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY42487 | CA | Yes |
Addresses
Primary practice location
5747 Kanan Road
Agoura Hills, CA 91301-1601
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0568115 | Other | OTHER ID NUMBER | |
| PHA424870 | Medicaid | CA | |
| PHA424870 | Other | CA | MEDICAID DME |
Other names
- Rite Aid Pharmacy 05539
Other providers in Agoura Hills, CA
- Debra G Tennen
- The High Road Program
- Therapeutic Comprehensive Services
- Therapy Based Psychiatry PC
- Lucille Charmaine Thomas
- Mark Andrew Tiedeman
- Jeremy Douglas Tinoco
- Ashkan Tirgari
- Alexa Tjen
- Todd L Perlmutter, Inc
All providers in Agoura Hills, CA · Community/Retail Pharmacy in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.