Active NPI
Thrifty Payless Inc
Doing business as Rite Aid Pharmacy 05595
- Community/Retail Pharmacy
- La Verne, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY44093
- Legal business name
- THRIFTY PAYLESS INC
- Doing business as
- Rite Aid Pharmacy 05595
- Practice address
- 1480 Foothill Boulevard
La Verne, CA 91750-3450 - Phone
- (909) 593-2619
- NPI assigned
- Aug 29, 2006
- Last updated
- Oct 27, 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 | |||
| Community/Retail Pharmacy | 3336C0003X | PHY44093 | CA | Primary |
Addresses
Primary practice location
1480 Foothill Boulevard
La Verne, CA 91750-3450
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other names 1
- Rite Aid Pharmacy 05595
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
1480 Foothill Blvd
La Verne, CA 91750
Phone (909) 593-2619
Practitioners & affiliated clinicians
Practitioners 4
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
- La Verne, CA
- NPI 1225373327
-
- Pharmacy Technician
- La Verne, CA
- NPI 1518699842
-
- Pharmacist
- La Verne, CA
- NPI 1124348537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319673600000",
"number": "1619086154",
"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": "1480 FOOTHILL BOULEVARD",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917503450",
"telephone_number": "909-593-2619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIFTY PAYLESS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2011-10-27",
"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": "CA",
"license": "PHY44093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rite Aid Pharmacy 05595",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in La Verne, CA
- Elena Alina Tariceanu
- Tamara Giselle Tavira
- Tchaboukian Dental Corporation (Inland Dental Group)
- Telnet-RX Specialties Inc. (TelNet-Rx Pharmacy La Verne)
- Shaleta Thorbs
- Time 4 Me - Counseling & Consulting, Inc. (Time 4 Me - Counselng & Consulting)
- Tony Daher DDS Inc
- Vanessa Toro
- Andrea Torres, CPT
- George Raul Torres III
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.