Thrifty Drug Stores Inc
Organization Active NPI Community/Retail Pharmacy · Moose Lake, MN
NPI 1598855439 · NPPES record last updated Jul 31, 2026
Key facts
- NPI
- 1598855439
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 262429 (MN)
- Legal business name
- THRIFTY DRUG STORES INC
- Practice address
- 60 Arrowhead LN
Moose Lake, MN 55767-9453 - Phone
- (218) 485-4401
- Fax
- (218) 485-8774
- NPI assigned
- Oct 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Anne Brader
- Title
- Cfo
- Phone
- (763) 513-4300
Corporate family (same tax ID) 42
Practitioners 4
-
Teresa Hornby, RPH
-
Jacob C Nelson, PHARMD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2054828 | Thrifty White Pharmacy #754 | Certificate of waiver | Feb 27, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Thrifty White Pharmacy #754 |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Surgical Dressings | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| St Luke Lutheran Nursing Home |
Skilled nursing facility | Adp of the SNF | Jan 1, 2025 |
| Good Samaritan Society - Maplewood |
Skilled nursing facility | Adp of the SNF | Aug 1, 2017 |
| Good Samaritan Society - Ambassador |
Skilled nursing facility | Adp of the SNF | Aug 1, 2017 |
| Good Samaritan Society - Inver Grove Heights |
Skilled nursing facility | Adp of the SNF | Aug 1, 2017 |
| Good Samaritan Society - Specialty Care Community |
Skilled nursing facility | Adp of the SNF | Aug 1, 2017 |
| Good Samaritan Society - Comforcare |
Skilled nursing facility | Adp of the SNF | Aug 1, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041104000521 | MN | Part B Supplier - Mass Immunization (Roster Biller Only) | 0941269047 |
This NPI is an additional NPI on the enrollment Practice locations: Sandstone, MN; Rochester, MN; Red Lake Falls, MN; Plymouth, MN; Mankato, MN; Pierz, MN; Olivia, MN; Morris, MN… |
| O20100930049236 | MN | DME Supplier - Pharmacy | 0941269047 | Practice locations: Moose Lake, MN |
National Provider Directory
- Tax ID family
- Thrifty White Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 262429 | MN | Yes |
| Long Term Care Pharmacy | 3336L0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
60 Arrowhead LN
Moose Lake, MN 55767-9453
Mailing address
6701 Evenstad Dr N Ste 100
Maple Grove, MN 55369-6013
Phone (763) 513-4300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2048500 | Other | PK | |
| 1598855439 | Medicaid | MN |
Other names
- THRIFTY WHITE PHARMACY #754
Other providers in Moose Lake, MN
- Kurt David Stodola
- Lynn M. Stottler
- Genevieve M Swenson
- Steve S. Tekippe
- Christopher N. Thiessen
- Urology Associates, LTD
- Harold Vinnes
- Ruth E. Westra
- Reilly White
- Laurence Edward Will Jr.
All providers in Moose Lake, MN · Community/Retail Pharmacy in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2026. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.