Active NPI
Thrifty Drug Stores Inc
- Community/Retail Pharmacy
- Fergus Falls, MN
National Provider Identifier
1417047341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 261135
- Legal business name
- THRIFTY DRUG STORES INC
- Practice address
- 111 W Vernon Ave
Fergus Falls, MN 56537-2741 - Phone
- (218) 736-5770
- Fax
- (218) 736-3587
- NPI assigned
- Oct 13, 2006
- 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
- Anne Brader
- Title
- Cfo
- Phone
- (763) 513-4300
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | PHAR351 | ND | |
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 261135 | MN | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
111 W Vernon Ave
Fergus Falls, MN 56537-2741
Mailing address
6701 Evenstad Dr N Ste 100
Maple Grove, MN 55369-6013
Phone (763) 513-4300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1456669 RX | Medicaid | ND | |
| 2044217 | Other | PK | |
| 411717400 | Medicaid | MN | |
| 1456386 DME | Medicaid | ND |
Other names 1
- THRIFTY WHITE PHARMACY #735
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041104000521 | MN | Part B Supplier - Mass Immunization (Roster Biller Only) | 0941269047 |
This NPI is an additional NPI on the enrollment Practice locations: Sandstone, MN; Rochester, MN; Red Lake Falls, MN; Plymouth, MN; Mankato, MN; Pierz, MN; Olivia, MN; Morris, MN… |
| O20100930089046 | MN | DME Supplier - Pharmacy | 0941269047 | Practice locations: Fergus Falls, MN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Thrifty White Pharmacy #735 | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Enteral Nutrients|Ent… | Accepts assignment |
National Provider Directory
National Provider DirectoryOwnership & related parties
All facility ownership & control disclosures 6
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| St Luke Lutheran Nursing Home | Skilled nursing facility | Adp of the SNF | Jan 1, 2025 |
| Good Samaritan Society - Maplewood | Skilled nursing facility | Adp of the SNF | Aug 1, 2017 |
| Good Samaritan Society - Ambassador | Skilled nursing facility | Adp of the SNF | Aug 1, 2017 |
| Good Samaritan Society - Inver Grove Heights | Skilled nursing facility | Adp of the SNF | Aug 1, 2017 |
| Good Samaritan Society - Specialty Care Community | Skilled nursing facility | Adp of the SNF | Aug 1, 2017 |
| Good Samaritan Society - Comforcare | Skilled nursing facility | Adp of the SNF | Aug 1, 2017 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785456000000",
"number": "1417047341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 EVENSTAD DR N STE 100",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553696013",
"telephone_number": "763-513-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W VERNON AVE",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372741",
"telephone_number": "218-736-5770",
"fax_number": "218-736-3587"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIFTY DRUG STORES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-13",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A",
"authorized_official_last_name": "BRADER",
"authorized_official_first_name": "ANNE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "763-513-4300"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "ND",
"license": "PHAR351",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MN",
"license": "261135",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1456669 RX",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2044217",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "411717400",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1456386 DME",
"state": "ND"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "THRIFTY WHITE PHARMACY #735",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fergus Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.