Active NPI
Thrift Drug Inc
Doing business as Rite Aid Pharmacy 10976
- Community/Retail Pharmacy
- Du Bois, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP413503L
- Legal business name
- THRIFT DRUG INC
- Doing business as
- Rite Aid Pharmacy 10976
- Practice address
- 431 Commons Drive
Dubois, PA 15801 - Phone
- (814) 371-4491
- NPI assigned
- Sep 25, 2006
- Last updated
- Jun 29, 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 |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | PP413503L | PA | |
| Community/Retail Pharmacy | 3336C0003X | PP413503L | PA | Primary |
Addresses
Primary practice location
431 Commons Drive
Dubois, PA 15801
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007287461413 | Other | PA | MEDICAID DME |
| 3905102 | Other | OTHER ID NUMBER | |
| 1007287461413 | Medicaid | PA |
Other names 1
- RITE AID PHARMACY 10976
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050513000069 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 2466493044 | This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
431 Commons Dr
Dubois, PA 15801
Phone (814) 371-4491
Practitioners & affiliated clinicians
Practitioners 9
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
- Du Bois, PA
- NPI 1922613009
-
- Pharmacist
- Du Bois, PA
- NPI 1720150501
-
- Pharmacist
- Du Bois, PA
- NPI 1710417175
-
- Pain Management Registered Nurse
- Du Bois, PA
- NPI 1205599362
-
- Pharmacist
- Du Bois, PA
- NPI 1437448321
-
- Pharmacist
- Du Bois, PA
- NPI 1417423245
-
- Pharmacotherapy Pharmacist
- Du Bois, PA
- NPI 1205188489
-
- Pharmacist
- Du Bois, PA
- NPI 1437563020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309305600000",
"number": "1699875047",
"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": "431 COMMONS DRIVE",
"city": "DUBOIS",
"state": "PA",
"postal_code": "15801",
"telephone_number": "814-371-4491"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIFT DRUG INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"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": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "PA",
"license": "PP413503L",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP413503L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DME",
"identifier": "1007287461413",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "3905102",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007287461413",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RITE AID PHARMACY 10976",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Du Bois, PA
Sources for this page
- 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.