Active NPI
Thrifty Payless Inc
Doing business as Rite Aid Pharmacy 05941
- Community/Retail Pharmacy
- Suisun City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY42509
- Legal business name
- THRIFTY PAYLESS INC
- Doing business as
- Rite Aid Pharmacy 05941
- Practice address
- 135 Sunset Avenue
Astro Sunset Shopping Center
Suisun City, CA 94585-2062 - Phone
- (707) 426-4242
- NPI assigned
- Aug 30, 2006
- Last updated
- Oct 18, 2012
- 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 | PHY42509 | CA | Primary |
Addresses
Primary practice location
135 Sunset Avenue
Astro Sunset Shopping Center
Suisun City, CA 94585-2062
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0572772 | Other | OTHER ID NUMBER | |
| PHA425090 | Medicaid | CA |
Other names 1
- RITE AID PHARMACY 05941
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
135 Sunset Ave
Suisun City, CA 94585
Phone (707) 426-4242
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
- Suisun City, CA
- NPI 1376062968
-
- Pharmacist
- Suisun City, CA
- NPI 1770897217
-
- Pharmacist
- Suisun City, CA
- NPI 1770803793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350518400000",
"number": "1699884015",
"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": "135 SUNSET AVENUE",
"address_2": "ASTRO SUNSET SHOPPING CENTER",
"city": "SUISUN CITY",
"state": "CA",
"postal_code": "945852062",
"telephone_number": "707-426-4242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIFTY PAYLESS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2012-10-18",
"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": "PHY42509",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "0572772",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA425090",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RITE AID PHARMACY 05941",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Suisun City, CA
- Froilan Don Tafalla, DMD
- Tatiana Lorina Taylor
- The Serenity Living Home LLC
- Pascale Theard, LMT
- Tiffani N Thomas
- Virginia Marguerite Tracy, NC
- Trinity Point Transport LLC
- True Living Therapy Licensed Clinical Social Worker, Inc (Tomikka Lee LCSW True Living Therapy)
- Faith Lauren Tupin
- Anna Paulina P Valdeavilla
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.