Thrift Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP415228L Issued in PA

Legal business name

THRIFT DRUG INC

Doing business as

Rite Aid Pharmacy 11054

Practice address

361 South Cedar Crest Boulevard
Allentown, PA 18103-3600

Phone

(610) 821-7999

NPI assigned

Sep 26, 2006

Last updated

Jun 29, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer ZorekNPI 1205649464

Title

Manager Online Adjudication

Phone

(717) 975-5937

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• RITE AID PHARMACY 11054 Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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.

• Jennifer M Zorek

  • Pharmacy Technician
  • Etters, PA
  • NPI 1205649464
  Authorized official Same address or phone
• Bhavini Patel Miller

  • Pharmacist
  • Allentown, PA
  • NPI 1013206713
  NPD (past)
• Chris D Perry, R.P

  • Pharmacist
  • Allentown, PA
  • NPI 1417246703
  NPD (past)
• Kush Sheth, PHARMD

  • Pharmacist
  • Allentown, PA
  • NPI 1063711687
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1649371444",
    "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": "361 SOUTH CEDAR CREST BOULEVARD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033600",
            "telephone_number": "610-821-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIFT DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-06-29",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP415228L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007287460785",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3972216",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "1007287460785",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 11054",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bruce G Thorkildsen, M.D.
• Braxton Robert Thorn, LCSW
• Thrift Drug Inc (Rite Aid Pharmacy 11055)
• Thrift Drug Inc (Rite Aid Pharmacy 11053)
• Thrift Drug Inc (Rite Aid Pharmacy)
• Thrift Drug Inc (Rite Aid Pharmacy 11056)
• Thrive & Bloom Psychological Services
• Megan Kelly Tibaldi, PT, DPT
• Dawn Ticali, RDH
• Carissa Tice

• Community/Retail Pharmacy in Allentown, PA
• Providers in Allentown, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.

Verify at the official NPI Registry.