Active NPI
Thrifty Payless Inc
Doing business as Rite Aid Pharmacy 05824
- Community/Retail Pharmacy
- Arroyo Grande, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY42630
- Legal business name
- THRIFTY PAYLESS INC
- Doing business as
- Rite Aid Pharmacy 05824
- Practice address
- 1207 East Grand Avenue
Arroyo Grande, CA 93420-2419 - Phone
- (805) 489-1830
- NPI assigned
- Aug 31, 2006
- Last updated
- Nov 1, 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 | NU | ||
| Community/Retail Pharmacy | 3336C0003X | PHY42630 | CA | Primary |
Addresses
Primary practice location
1207 East Grand Avenue
Arroyo Grande, CA 93420-2419
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA426300 | Medicaid | CA | |
| 0516596 | Other | OTHER ID NUMBER |
Other names 1
- RITE AID PHARMACY 05824
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
1207 E Grand Ave
Arroyo Grande, CA 93420
Phone (805) 489-1830
Practitioners & affiliated clinicians
Practitioners 7
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
- Arroyo Grande, CA
- NPI 1033454301
-
- Pharmacy Technician
- Arroyo Grande, CA
- NPI 1902591100
-
- Pharmacist
- Arroyo Grande, CA
- NPI 1659813152
-
- Pharmacist
- Arroyo Grande, CA
- NPI 1760800452
-
- Pharmacist
- Arroyo Grande, CA
- NPI 1740570852
-
- Pharmacist
- Arroyo Grande, CA
- NPI 1205647153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320105600000",
"number": "1699886945",
"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": "1207 EAST GRAND AVENUE",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934202419",
"telephone_number": "805-489-1830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIFTY PAYLESS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2011-11-01",
"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": "CA",
"license": "PHY42630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA426300",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "0516596",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RITE AID PHARMACY 05824",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Arroyo Grande, CA
- Thomas D. Ferro M.D. a Medical Corporation
- Jeffrey S. Thompson, M.D.
- Teresa Thompson, RN
- Tod C Thoring, N.D.
- Thrifty Payless Inc (Rite Aid Pharmacy 05825)
- Tikva Treatment
- Tikva Treatment
- Tikva Treatment (The Haven at Pismo)
- Tikva Treatment (The Haven at Pismo)
- Tikva Treatment LLC (The Haven at Pismo)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.