Active NPI
Thrift Drug Inc
- Community/Retail Pharmacy
- Mullica Hill, NJ
National Provider Identifier
1104925338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00513300
- Legal business name
- THRIFT DRUG INC
- Practice address
- 108 Swedesboro Road
Suite 20
Mullica Hill, NJ 08062-1800 - Phone
- (856) 223-0177
- NPI assigned
- Sep 22, 2006
- 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
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 28RS00513300 | NJ | Primary |
Addresses
Primary practice location
108 Swedesboro Road
Suite 20
Mullica Hill, NJ 08062-1800
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3136795 | Other | OTHER ID NUMBER | |
| 6580807 | Medicaid | NJ |
Other names 1
- RITE AID PHARMACY 10456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100312000266 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 2466493044 |
36 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: West Berlin, NJ; Toms River, NJ; Sewell, NJ; Robbinsville, NJ; Neptune, NJ; Lavallette, NJ; Mullica Hill, NJ; Moorestown, NJ… |
Other NPIs on the same Medicare enrollment 18
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
108 Swedesboro Rd
Ste 20
Mullica Hill, NJ 08062
Phone (856) 223-0177
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Mullica Hill, NJ
- NPI 1760506562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316476800000",
"number": "1104925338",
"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": "108 SWEDESBORO ROAD",
"address_2": "SUITE 20",
"city": "MULLICA HILL",
"state": "NJ",
"postal_code": "080621800",
"telephone_number": "856-223-0177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIFT DRUG INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2011-09-20",
"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": "NJ",
"license": "28RS00513300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "3136795",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6580807",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RITE AID PHARMACY 10456",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mullica Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.