Active NPI
Thrifty Payless Inc
Doing business as Rite Aid Pharmacy 05386
- Community/Retail Pharmacy
- Grants Pass, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 6796
- Legal business name
- THRIFTY PAYLESS INC
- Doing business as
- Rite Aid Pharmacy 05386
- Practice address
- 915 Northeast D Street
Grants Pass Shopping Center
Grants Pass, OR 97526-2399 - Phone
- (541) 479-3358
- NPI assigned
- Aug 30, 2006
- Last updated
- Aug 25, 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 | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 6796 | OR | Primary |
Addresses
Primary practice location
915 Northeast D Street
Grants Pass Shopping Center
Grants Pass, OR 97526-2399
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165005 | Medicaid | OR | |
| 3805922 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- RITE AID PHARMACY 05386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110107000453 | OR | 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 5
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
- Medford, OR
- NPI 1952184749
-
- Pharmacist
- Grants Pass, OR
- NPI 1750750766
-
- Pharmacist
- Grants Pass, OR
- NPI 1528690757
-
- Pharmacist
- Grants Pass, OR
- NPI 1588107494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314230400000",
"number": "1306955695",
"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": "915 NORTHEAST D STREET",
"address_2": "GRANTS PASS SHOPPING CENTER",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975262399",
"telephone_number": "541-479-3358"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIFTY PAYLESS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2011-08-25",
"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": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OR",
"license": "6796",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165005",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3805922",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RITE AID PHARMACY 05386",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grants Pass, OR
- Scott W Thorsen, D.C.
- Carlyle Hans Thorson, MSW
- Chad G. Thorson, P.T.
- Three Rivers Homecare, LLC (Assured Home Health)
- Three Rivers Radiology Associates, PC (Advanced Imaging Associates)
- Daniel Tibbits
- Nicole Tiefenback
- Daniel Tierney
- Andrew Mark Tijerina
- Timberline Counseling LLC (Timberline Counseling)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.