Active NPI
Thrifty Payless Inc
Doing business as Rite Aid Pharmacy 06743
- Community/Retail Pharmacy
- Rancho Mission Viejo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- THRIFTY PAYLESS INC
- Doing business as
- Rite Aid Pharmacy 06743
- Practice address
- 30551 Gateway PL
Rancho Mission Viejo, CA 92694 - Phone
- (717) 975-5937
- NPI assigned
- Jul 17, 2017
- Last updated
- Jul 25, 2019
- 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
- Sr Manager Provider Enrollment
- 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 | NU | ||
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
30551 Gateway PL
Rancho Mission Viejo, CA 92694
Mailing address
200 Newberry CMNS
Etters, PA 17319-9363
Phone (717) 975-5937
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH320A | Other | CA | FLU PTAN |
| P00949662 | Other | CA | RR FLU PTAN |
Other names 1
- Rite Aid Pharmacy 06743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110309000350 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7719979095 | This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
30551 Gateway Pl
Rancho Mission Viejo, CA 92694
Phone (949) 496-4017
Practitioners & affiliated clinicians
Practitioners 1
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564012800000",
"number": "1568985091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NEWBERRY CMNS",
"city": "ETTERS",
"state": "PA",
"postal_code": "173199363",
"telephone_number": "717-975-5937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30551 GATEWAY PL",
"city": "RANCHO MISSION VIEJO",
"state": "CA",
"postal_code": "92694",
"telephone_number": "717-975-5937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIFTY PAYLESS INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-17",
"last_updated": "2019-07-25",
"status": "A",
"authorized_official_last_name": "ZOREK",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "SR MANAGER PROVIDER ENROLLMENT",
"authorized_official_telephone_number": "717-975-5937"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLU PTAN",
"identifier": "BH320A",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR FLU PTAN",
"identifier": "P00949662",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rite Aid Pharmacy 06743",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Rite Aid Pharmacy 06743",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rancho Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.