NPIMap

Organization Active NPI

Thrifty Drug Stores Inc

Doing business as Thrifty White Drug #750

  • Community/Retail Pharmacy
  • Fertile, MN
National Provider Identifier
1053401992
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
262300 Issued in MN
Legal business name
THRIFTY DRUG STORES INC
Doing business as
Thrifty White Drug #750
Practice address
203 S Mill St
Fertile, MN 56540-4216
Phone
(218) 521-2522
Fax
(888) 481-0415
NPI assigned
Oct 13, 2006
Last updated
Jul 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Anne Brader
Title
Cfo
Phone
(763) 513-4300

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 262300 MN Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

203 S Mill St
Fertile, MN 56540-4216

Mailing address

6701 Evenstad Dr N Ste 100
Maple Grove, MN 55369-6013
Phone (763) 513-4300

Other identifiers 2

IdentifierTypeStateIssuer
1053401992MedicaidMN
2048390OtherPK

Other names 1

  • THRIFTY WHITE DRUG #750 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041104000521 MN Part B Supplier - Mass Immunization (Roster Biller Only) 0941269047 This NPI is an additional NPI on the enrollment
Practice locations: Sandstone, MN; Rochester, MN; Red Lake Falls, MN; Plymouth, MN; Mankato, MN; Pierz, MN; Olivia, MN; Morris, MN…
O20100930048285 MN DME Supplier - Pharmacy 0941269047 Practice locations: Fertile, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Thrifty White Drug #750203 N Mill St, Fertile, MN 56540(218) 945-6174 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Surgical Dressings Accepts assignmentParticipating since Jan 1, 2024

National Provider Directory

National Provider Directory
Tax ID family
Thrifty White Drug 71043 organizations share this tax ID, including this one

Other organizations with this tax ID 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Luke Lutheran Nursing HomeSpencer, IA, CCN 165484 Skilled nursing facility Adp of the SNF Jan 1, 2025
Good Samaritan Society - MaplewoodMaplewood, MN, CCN 245221 Skilled nursing facility Adp of the SNF Aug 1, 2017
Good Samaritan Society - AmbassadorNew Hope, MN, CCN 245149 Skilled nursing facility Adp of the SNF Aug 1, 2017
Good Samaritan Society - Inver Grove HeightsInver Grove Heights, MN, CCN 245285 Skilled nursing facility Adp of the SNF Aug 1, 2017
Good Samaritan Society - Specialty Care CommunityRobbinsdale, MN, CCN 245279 Skilled nursing facility Adp of the SNF Aug 1, 2017
Good Samaritan Society - ComforcareAustin, MN, CCN 245317 Skilled nursing facility Adp of the SNF Aug 1, 2017

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1053401992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 EVENSTAD DR N STE 100",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553696013",
            "telephone_number": "763-513-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S MILL ST",
            "city": "FERTILE",
            "state": "MN",
            "postal_code": "565404216",
            "telephone_number": "218-521-2522",
            "fax_number": "888-481-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIFTY DRUG STORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "BRADER",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "763-513-4300"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "262300",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053401992",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2048390",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THRIFTY WHITE DRUG #750",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fertile, MN

Sources for this page

Verify at the official NPI Registry.