Thrifty Payless Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

6774 Issued in OR

Legal business name

THRIFTY PAYLESS INC

Doing business as

Rite Aid Pharmacy 05391

Practice address

700 Southeast Third Street
Bend, OR 97702-1753

Phone

(541) 389-9713

NPI assigned

Aug 30, 2006

Last updated

Aug 25, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer ZorekNPI 1205649464

Title

Manager Online Adjudication

Phone

(717) 975-5937

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RITE AID PHARMACY 05391 Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

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.

• Jennifer M Zorek

  • Pharmacy Technician
  • Etters, PA
  • NPI 1205649464
  Authorized official Same address or phone
• Ryan Dozler, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Salem, OR
  • NPI 1134793615
  NPD (past)
• Adiam T Ghirmatsion, PHARMD

  • Pharmacist
  • Bend, OR
  • NPI 1396089835
  NPD (past)
• Margaret Morone, RN

  • Registered Nurse
  • Bend, OR
  • NPI 1528632148
  NPD (past)
• Nichelle Ruiz

  • Pharmacist
  • Bend, OR
  • NPI 1568838837
  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": "1314230400000",
    "number": "1477662765",
    "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": "700 SOUTHEAST THIRD STREET",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021753",
            "telephone_number": "541-389-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIFTY PAYLESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-08-25",
        "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": "OR",
            "license": "6774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3809540",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164909",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 05391",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Thorstrom
• Three Pines Neuropsychology
• Three Sisters Cosmetic Surgery LLC (The Leffel Center)
• Three Sisters Sleep LLC
• Crystal Threlkeld
• Thrive Bend Inc.
• Thrive Central Oregon
• Thrive Life Well Therapy
• Thrive Through Play LLC
• Michelle Tibbs, OTD

• Community/Retail Pharmacy in Bend, OR
• Providers in Bend, OR by specialty
• Community/Retail Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.