Active NPI
Thrifty Payless Inc
Doing business as Rite Aid Pharmacy 05739
- Community/Retail Pharmacy
- Garden Grove, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY42550
- Legal business name
- THRIFTY PAYLESS INC
- Doing business as
- Rite Aid Pharmacy 05739
- Practice address
- 12897 Harbor Boulevard
Garden Grove, CA 92840-5808 - Phone
- (714) 636-1143
- NPI assigned
- Aug 30, 2006
- Last updated
- Oct 31, 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 | |||
| Community/Retail Pharmacy | 3336C0003X | PHY42550 | CA | Primary |
Addresses
Primary practice location
12897 Harbor Boulevard
Garden Grove, CA 92840-5808
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other names 1
- RITE AID PHARMACY 05739
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 DirectoryLocations
12897 Harbor Blvd
Garden Grove, CA 92840
Phone (714) 636-1143
Practitioners & affiliated clinicians
Practitioners 8
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
-
- Pharmacy Technician
- Garden Grove, CA
- NPI 1770270472
-
- Pharmacist
- Garden Grove, CA
- NPI 1770801706
-
- Pharmacist
- Seal Beach, CA
- NPI 1457060543
-
- Pharmacy Technician
- Garden Grove, CA
- NPI 1780371419
-
- Pharmacist
- Garden Grove, CA
- NPI 1811216450
-
- Pharmacist
- Garden Grove, CA
- NPI 1235542341
-
- Pharmacist
- Costa Mesa, CA
- NPI 1427376482
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": "1320019200000",
"number": "1346359775",
"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": "12897 HARBOR BOULEVARD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928405808",
"telephone_number": "714-636-1143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIFTY PAYLESS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2011-10-31",
"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": "CA",
"license": "PHY42550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RITE AID PHARMACY 05739",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Garden Grove, CA
- Jordan Thompson
- Kylie M Thompson
- Nichole Sunga Thorne
- Mikayla Marie Thornley
- Thrifty Payless Inc (Rite Aid Pharmacy 05742)
- Thrifty Payless Inc (Rite Aid Pharmacy 05743)
- Thrifty Payless Inc (Rite Aid Pharmacy 05741)
- Thrive Neurology, PC (Thrive Neurology)
- Thuc Tran, M.D., Corp. (Elite Gynecology, L.L.C.)
- Monica Leigh Thunderbull
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.