Thrifty Payless Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY42749 Issued in CA

Legal business name

THRIFTY PAYLESS INC

Doing business as

RITE AID PHARMACY 06008

Practice address

1707 McHenry Avenue
Modesto, CA 95350-4306

Phone

(209) 526-4773

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RITE AID PHARMACY 06008 Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Eric Bruggman, PHARM. D.

  • Pharmacist
  • Modesto, CA
  • NPI 1396144424
  NPD (past)
• Mariam Abdallah Gamal

  • Pharmacist
  • Modesto, CA
  • NPI 1295452662
  NPD (past)
• Traci Hagen

  • Pharmacy Technician
  • Modesto, CA
  • NPI 1568139384
  NPD (past)
• Christine Hanna

  • Pharmacist
  • Modesto, CA
  • NPI 1497558100
  NPD (past)
• Don Pham

  • Pharmacist
  • Modesto, CA
  • NPI 1649889171
  NPD (past)
• Anita Christine Ramirez

  • Pharmacy Technician
  • Modesto, CA
  • NPI 1144982539
  NPD (past)
• Ernest F Seppi, RPH

  • Pharmacist
  • Modesto, CA
  • NPI 1669761581
  NPD (past)
• Darshan Udani

  • Pharmacist
  • Modesto, CA
  • NPI 1275054090
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1427167873",
    "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": "1707 MCHENRY AVENUE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504306",
            "telephone_number": "209-526-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIFTY PAYLESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-10-19",
        "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": "PHY42749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0509692",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA427490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 06008",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tonya Thompson
• Tyrone Thompson
• Victoria Thompson
• Robin Thornton
• Thrifty Payless Inc
• Evangelyna Thurman-Silva
• Teresa Thykyou
• Miao Tian
• Katherine Tiatco, RPH
• Prudence Ticknor, RD

• Community/Retail Pharmacy in Modesto, CA
• Providers in Modesto, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.

Verify at the official NPI Registry.