NPIMap

Organization Active NPI

Thrifty Drug Stores Inc

Doing business as Thrifty White Pharmacy #748

  • Community/Retail Pharmacy
  • Walker, MN
National Provider Identifier
1417047358
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
262297 Issued in MN
Legal business name
THRIFTY DRUG STORES INC
Doing business as
Thrifty White Pharmacy #748
Practice address
216 Seventh St S
Walker, MN 56484
Phone
(218) 547-1016
Fax
(866) 939-3319
NPI assigned
Oct 13, 2006
Last updated
Oct 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Anne Froistad
Title
Licensing & Credentialing Manager
Phone
(763) 513-4377

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 262297 MN Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

216 Seventh St S
Walker, MN 56484

Mailing address

6701 Evenstad Dr N
Suite 100 - Licensing
Maple Grove, MN 55369-1674
Phone (763) 513-4300

Other identifiers 2

IdentifierTypeStateIssuer
2048387OtherPK
1417047358MedicaidMN

Other names 1

  • Thrifty White Pharmacy #748 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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…
O20100930021399 MN DME Supplier - Pharmacy 0941269047 Practice locations: Walker, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2054877Thrifty White Pharmacy #748216 7TH Street S,, Walker, MN 56484Certificate of waiverFeb 27, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Thrifty White Drug #748216 Seventh St S, Walker, MN 56484(218) 547-1016 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|Surgical Dressings Accepts assignmentParticipating since Jan 1, 2024

National Provider Directory

National Provider Directory
Tax ID family
Thrifty White Drug 80143 organizations share this tax ID, including this one

Other organizations with this tax ID 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

Locations

603 Minnesota Ave W
Walker, MN 56484
Phone (218) 547-1016

Ownership & 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.

FacilityTypeRoleSince
St Luke Lutheran Nursing HomeSpencer, IA, CCN 165484 Skilled nursing facility Adp of the SNF Jan 1, 2025
Good Samaritan Society - MaplewoodMaplewood, MN, CCN 245221 Skilled nursing facility Adp of the SNF Aug 1, 2017
Good Samaritan Society - AmbassadorNew Hope, MN, CCN 245149 Skilled nursing facility Adp of the SNF Aug 1, 2017
Good Samaritan Society - Inver Grove HeightsInver Grove Heights, MN, CCN 245285 Skilled nursing facility Adp of the SNF Aug 1, 2017
Good Samaritan Society - Specialty Care CommunityRobbinsdale, MN, CCN 245279 Skilled nursing facility Adp of the SNF Aug 1, 2017
Good Samaritan Society - ComforcareAustin, MN, CCN 245317 Skilled nursing facility Adp of the SNF Aug 1, 2017

Practitioners & 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.

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": "1730160000000",
    "number": "1417047358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 EVENSTAD DR N",
            "address_2": "SUITE 100 - LICENSING",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553691674",
            "telephone_number": "763-513-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 SEVENTH ST S",
            "city": "WALKER",
            "state": "MN",
            "postal_code": "56484",
            "telephone_number": "218-547-1016",
            "fax_number": "866-939-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIFTY DRUG STORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "FROISTAD",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "LICENSING & CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "763-513-4377"
    },
    "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": null,
            "license": null,
            "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": "262297",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2048387",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417047358",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrifty White Pharmacy #748",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walker, MN

Sources for this page

Verify at the official NPI Registry.