Active NPI
Thrifty Payless, Inc.
Doing business as Rite Aid Pharmacy 06356
- Community/Retail Pharmacy
- Antioch, CA
National Provider Identifier
1124040191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY45256
- Legal business name
- THRIFTY PAYLESS, INC.
- Doing business as
- Rite Aid Pharmacy 06356
- Practice address
- 4100 Lone Tree Way
Antioch, CA 94509-6201 - Phone
- (925) 522-0150
- NPI assigned
- Jul 25, 2006
- Last updated
- Oct 20, 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 | PHY45256 | CA | |
| Community/Retail Pharmacy | 3336C0003X | PHY45256 | CA | Primary |
Addresses
Primary practice location
4100 Lone Tree Way
Antioch, CA 94509-6201
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other names 1
- RITE AID PHARMACY 06356
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
- Antioch, CA
- NPI 1093236978
-
- Pharmacotherapy Pharmacist
- Antioch, CA
- NPI 1376959684
-
- Pharmacist
- Antioch, CA
- NPI 1710101480
-
- Pharmacist
- Antioch, CA
- NPI 1124348677
-
- Pharmacist
- Antioch, CA
- NPI 1649582305
-
- Pharmacist
- Antioch, CA
- NPI 1205116233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319068800000",
"number": "1124040191",
"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": "4100 LONE TREE WAY",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945096201",
"telephone_number": "925-522-0150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIFTY PAYLESS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2011-10-20",
"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": "CA",
"license": "PHY45256",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY45256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RITE AID PHARMACY 06356",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.