Active NPI
Thrift Drug Inc
Doing business as Rite Aid Pharmacy 10999
- Community/Retail Pharmacy
- Conneaut Lake, PA
National Provider Identifier
1063596708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- THRIFT DRUG INC
- Doing business as
- Rite Aid Pharmacy 10999
- Practice address
- 100 South Third Street
Conneaut Lake, PA 16316 - Phone
- (814) 382-2380
- NPI assigned
- Oct 25, 2006
- Last updated
- Oct 3, 2014
- 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 M Zorek
- Title
- Sr Manager Third Party Enrollments
- 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 | NU | ||
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
100 South Third Street
Conneaut Lake, PA 16316
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07287460349 | Medicaid | PA | |
| 2607398 | Medicaid | OH | |
| 3966833 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- Rite Aid Pharmacy 10999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050513000069 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 2466493044 | 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 Clinician (PhC)/ Clinical Pharmacy Specialist
- Erie, PA
- NPI 1558661413
-
- Pharmacist
- Conneaut Lake, PA
- NPI 1285800862
-
- Pharmacist
- Conneaut Lake, PA
- NPI 1083268858
-
- Pharmacist
- Conneaut Lake, PA
- NPI 1225321649
-
- Pharmacist
- Conneaut Lake, PA
- NPI 1194922310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412294400000",
"number": "1063596708",
"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": "100 SOUTH THIRD STREET",
"city": "CONNEAUT LAKE",
"state": "PA",
"postal_code": "16316",
"telephone_number": "814-382-2380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIFT DRUG INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2014-10-03",
"status": "A",
"authorized_official_last_name": "ZOREK",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SR MANAGER THIRD PARTY ENROLLMENTS",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07287460349",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2607398",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3966833",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rite Aid Pharmacy 10999",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Conneaut Lake, PA
- Randall B. Schlosser, P.T.
- Lacey Stoner, OTR/L
- Heather N Strauch, CTNC
- Victoria L Taylor
- The Caring Company Home Care LLC
- Thrive Pelvic Health and Wellness LLC
- Titusville Area Hospital (Conneaut Lake Health Center)
- Upmc Community Medicine (Lakeside Family Medicine Conneaut Lake)
- Upmc Community Medicine Inc
- Timothy B Vyrostek, DC CCSP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.