Thrifty Payless Inc
Organization Active NPI Community/Retail Pharmacy · Phoenix, OR
NPI 1588024053 · NPPES record last updated Oct 30, 2017
Key facts
- NPI
- 1588024053
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- THRIFTY PAYLESS INC
- Practice address
- 636 N Main St
Phoenix, OR 97535-9607 - Phone
- (541) 535-1561
- NPI assigned
- Feb 26, 2016
- Organization subpart
- No
Authorized official
- Name
- Jennifer Zorek
- Title
- Sr Manager Provider Enrollment
- Phone
- (717) 975-5937
Practitioners 4
-
Serob Karapetyan, RPH
-
Richard Rappleye, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110107000453 | OR | Part B Supplier - Mass Immunization (Roster Biller Only) | 7719979095 | This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
636 N Main St
Phoenix, OR 97535-9607
Mailing address
200 Newberry CMNS
Etters, PA 17319-9363
Phone (717) 975-5937
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NCPDP | Other | 3845762 | |
| 1588024053 | Medicaid | OR |
Other names
- Rite Aid Pharmacy 06776
Other providers in Phoenix, OR
- Diane L Stamper
- Gary M Stephens
- Angela Stiles
- Morgan Nicole Stoneway
- Desiree Thompson
- Elizabeth Van Driel
- Hannah L Vanwinkle
- Andrea Nicole Walker
- Emily Dean Warren
- Eric Seth Webb
All providers in Phoenix, OR · Community/Retail Pharmacy in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.