Thrifty Payless Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY48745 Issued in CA

Legal business name

THRIFTY PAYLESS INC

Practice address

16120 Bear Valley Road
Victorville, CA 92395-8706

Phone

(760) 951-0210

NPI assigned

Aug 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Zorek

Title

Mang Onl Adj

Phone

(717) 975-5937

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RITE AID PHARMACY 06514 Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry Benitez, PHARMD

  • Pharmacist
  • Victorville, CA
  • NPI 1437538857
  NPD (past)
• Adriana Jessica Blow

  • Pharmacy Technician
  • Victorville, CA
  • NPI 1447919659
  NPD (past)
• Ashley Deveze

  • Pharmacy Technician
  • Victorville, CA
  • NPI 1073213021
  NPD (past)
• Ruth Mercy Magalit, RPH

  • Pharmacist
  • Victorville, CA
  • NPI 1528388758
  NPD (past)
• Chinh Cong Nguyen, PHARMD

  • Pharmacist
  • Victorville, CA
  • NPI 1952874307
  NPD (past)
• Imajanti Oei, REGISTEREDPHARMACIST

  • Pharmacist
  • Victorville, CA
  • NPI 1831354489
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1265623003",
    "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": "16120 BEAR VALLEY ROAD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958706",
            "telephone_number": "760-951-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIFTY PAYLESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "ZOREK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANG ONL ADJ",
        "authorized_official_telephone_number": "717-975-5937"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "PHY-48745",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA487450",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "5627849",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 06514",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachael Thompson
• Kristina M Thornton
• Patrcia Alice Thornton, BA
• Thrifty Payless Inc
• Thrifty Payless Inc
• Thrifty Payless Inc
• Shynelle Tillman
• Tilton Nguyen Pharmaceutical Inc
• Pauline Minh Tilton, PHARM. D.
• Yasser Tinoco

• Community/Retail Pharmacy in Victorville, CA
• Providers in Victorville, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.