Thrifty Payless Inc
Organization Active NPI Community/Retail Pharmacy · Shafter, CA
NPI 1376652610 · NPPES record last updated Oct 20, 2011
Key facts
- NPI
- 1376652610
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHY47286 (CA)
- Legal business name
- THRIFTY PAYLESS INC
- Practice address
- 150 East Lerdo Highway
Shafter, CA 93263-2702 - Phone
- (661) 746-4991
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Jennifer Zorek
- Title
- Manager Online Adjudication
- Phone
- (717) 975-5937
Practitioners 8
-
Angie Gobreyal, RPH
-
Rowena S Jones, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY47286 | CA | Yes |
Addresses
Primary practice location
150 East Lerdo Highway
Shafter, CA 93263-2702
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA472860 | Medicaid | CA | |
| 5616163 | Other | OTHER ID NUMBER |
Other names
- RITE AID PHARMACY 06302
Other providers in Shafter, CA
- Manuel Tatum
- Telehealthdocs Medical Corporation
- Michel Yves Tetrault
- Sara Thomas-Chandler
- Danessa Thorbrogger
- Nhu Truong
- Unity Medical Transit LLC
- Geovanni Valdez
- Valley Medical Group of Kern County Inc
- Vanguard Medical Corporation
All providers in Shafter, CA · Community/Retail Pharmacy in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 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.