Thrifty Payless Inc
Organization Active NPI Community/Retail Pharmacy · Sequim, WA
NPI 1124034434 · NPPES record last updated Dec 15, 2011
Key facts
- NPI
- 1124034434
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- CF00004567 (WA)
- Legal business name
- THRIFTY PAYLESS INC
- Practice address
- 520 West Washington Street
Sequim, WA 98382-3279 - Phone
- (360) 681-0129
- NPI assigned
- Jul 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Jennifer Zorek
- Title
- Manager Online Adjudication
- Phone
- (717) 975-5937
Practitioners 7
-
Michael L Boucher, R PH
-
Rachel Diane Lindgren, PHARMD
-
Christian Michelet, PHARMD
-
David Preston Parish, PHARMD
-
Yong Park, PHARM D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040831000323 | WA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7719979095 | This NPI is an additional NPI on the enrollment |
National Provider Directory
Locations
520 W Washington St
Sequim, WA 98382
Phone (360) 681-0129
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | CF00004567 | WA | Yes |
Addresses
Primary practice location
520 West Washington Street
Sequim, WA 98382-3279
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4916625 | Other | OTHER ID NUMBER | |
| 6017735 | Medicaid | WA |
Other names
- RITE AID PHARMACY 05265
Other providers in Sequim, WA
- Hanna Thomas
- Robin Erich Thomas
- Diana Kim Thompson Young
- Renah Thompson
- Katijean Thorpe
- Edward Randal Tierney
- Autumn Timby
- Christopher Michael Tipton
- Cindy J Tipton
- Cynthia Bidegary Tok
All providers in Sequim, WA · Community/Retail Pharmacy in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 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.