Active NPI
Thrifty Payless Inc
Doing business as Rite Aid Pharmacy 05983
- Community/Retail Pharmacy
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY42389
- Legal business name
- THRIFTY PAYLESS INC
- Doing business as
- Rite Aid Pharmacy 05983
- Practice address
- Plaza de Santa Teresa
6215 Santa Teresa Boulevard
San Jose, CA 95119-1436 - Phone
- (408) 227-2816
- NPI assigned
- Aug 29, 2006
- Last updated
- Oct 19, 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 | PHY42389 | CA | Primary |
Addresses
Primary practice location
Plaza de Santa Teresa
6215 Santa Teresa Boulevard
San Jose, CA 95119-1436
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other names 1
- RITE AID PHARMACY 05983
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 7
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 Jose, CA
- NPI 1952762585
-
- Pharmacist
- San Jose, CA
- NPI 1275285504
-
- Pharmacist
- San Jose, CA
- NPI 1518250760
-
- Pharmacist
- San Jose, CA
- NPI 1942594114
-
- Pharmacist
- San Jose, CA
- NPI 1104027945
-
- Pharmacist
- San Jose, CA
- NPI 1144511049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318982400000",
"number": "1093824526",
"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": "PLAZA DE SANTA TERESA",
"address_2": "6215 SANTA TERESA BOULEVARD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951191436",
"telephone_number": "408-227-2816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIFTY PAYLESS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2011-10-19",
"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": "PHY42389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RITE AID PHARMACY 05983",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Jose, CA
- Jeremy Douglas Thorp
- Saolynath Thou
- June Marie Threadgould
- Alyssa Threet
- Kimberlee G Threeths, MFT
- Thrifty Payless Inc (Rite Aid Pharmacy 05992)
- Thrifty Payless Inc (Rite Aid Pharmacy 05988)
- Thrifty Payless Inc (Rite Aid Pharmacy 05985)
- Thrifty Payless Inc (Rite Aid Pharmacy 05987)
- Thrifty Payless Inc (Rite Aid Pharmacy 05993)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.