Active NPI
Thrifty Payless Inc
Doing business as Rite Aid Pharmacy 05687
- Community/Retail Pharmacy
- Apple Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY44802
- Legal business name
- THRIFTY PAYLESS INC
- Doing business as
- Rite Aid Pharmacy 05687
- Practice address
- 21738 US Highway 18
Apple Valley, CA 92307-3916 - Phone
- (760) 247-1840
- NPI assigned
- Aug 29, 2006
- Last updated
- Oct 12, 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 | PHY44802 | CA | Primary |
Addresses
Primary practice location
21738 US Highway 18
Apple Valley, CA 92307-3916
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other names 1
- RITE AID PHARMACY 05687
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
21738 US Highway 18
Apple Valley, CA 92307
Phone (760) 247-1840
Practitioners & affiliated clinicians
Practitioners 6
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
-
- Pharmacy Technician
- Apple Valley, CA
- NPI 1912667825
-
- Pharmacist
- Apple Valley, CA
- NPI 1407205149
-
- Pharmacist
- Apple Valley, CA
- NPI 1306157979
-
- Pharmacist
- Apple Valley, CA
- NPI 1912672635
-
- Pharmacist
- Apple Valley, CA
- NPI 1467734004
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": "1318377600000",
"number": "1629187166",
"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": "21738 US HIGHWAY 18",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923073916",
"telephone_number": "760-247-1840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIFTY PAYLESS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2011-10-12",
"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": "PHY44802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RITE AID PHARMACY 05687",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.