Active NPI
Thrift Drug Inc
Doing business as Rite Aid Pharmacy 11013
- Community/Retail Pharmacy
- State College, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP412635L
- Legal business name
- THRIFT DRUG INC
- Doing business as
- Rite Aid Pharmacy 11013
- Practice address
- 510 Westerly Parkway
State College, PA 16801-5905 - Phone
- (814) 238-1862
- NPI assigned
- Sep 22, 2006
- Last updated
- Jun 29, 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 | PP412635L | PA | |
| Community/Retail Pharmacy | 3336C0003X | PP412635L | PA | Primary |
Addresses
Primary practice location
510 Westerly Parkway
State College, PA 16801-5905
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3901825 | Other | OTHER ID NUMBER | |
| 1007287461417 | Other | PA | MEDICAID DME |
| 1007287461417 | Medicaid | PA |
Other names 1
- RITE AID PHARMACY 11013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050513000069 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 2466493044 | This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
510 Westerly Pkwy
State College, PA 16801
Phone (814) 238-1862
Practitioners & affiliated clinicians
Practitioners 7
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
-
- Pharmacist
- State College, PA
- NPI 1083269526
-
- Pharmacist
- State College, PA
- NPI 1174813042
-
- Pharmacist
- State College, PA
- NPI 1851690218
-
- Pharmacist
- Port Matilda, PA
- NPI 1295028793
-
- Pharmacist
- State College, PA
- NPI 1275009979
-
- Pharmacist
- Port Matilda, PA
- NPI 1366047003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309305600000",
"number": "1467551705",
"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": "510 WESTERLY PARKWAY",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168015905",
"telephone_number": "814-238-1862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIFT DRUG INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2011-06-29",
"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": "PA",
"license": "PP412635L",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP412635L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "3901825",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DME",
"identifier": "1007287461417",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007287461417",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RITE AID PHARMACY 11013",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.