Active NPI
Thrifty Drug Stores Inc
Doing business as Thrifty White Pharmacy #795
- Community/Retail Pharmacy
- Wadena, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- THRIFTY DRUG STORES INC
- Doing business as
- Thrifty White Pharmacy #795
- Practice address
- 421 11TH St NW Ste 100
Wadena, MN 56482-1044 - Phone
- (218) 632-2600
- Fax
- (218) 631-8065
- NPI assigned
- May 15, 2023
- Last updated
- Jul 31, 2026
- 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
- Anne Brader
- Title
- Cfo
- Phone
- (763) 513-4300
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X | |||
| Specialty Pharmacy | 3336S0011X | |||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
421 11TH St NW Ste 100
Wadena, MN 56482-1044
Mailing address
6701 Evenstad Dr N Ste 100
Maple Grove, MN 55369-6013
Phone (763) 513-4300
Other names 1
- Thrifty White Pharmacy #795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041104000521 | MN | Part B Supplier - Mass Immunization (Roster Biller Only) | 0941269047 |
This NPI is an additional NPI on the enrollment Practice locations: Sandstone, MN; Rochester, MN; Red Lake Falls, MN; Plymouth, MN; Mankato, MN; Pierz, MN; Olivia, MN; Morris, MN… |
| O20241011002154 | MN | DME Supplier - Pharmacy | 0941269047 | Practice locations: Wadena, MN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2284407 | Thrifty White Pharmacy #795 | Certificate of waiver | Jun 21, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Thrifty White Pharmacy #795 | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Nebulizer … | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Thrifty White Drug 710
Other organizations with this tax ID 42
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Thrifty White Drug #759
- Community/Retail Pharmacy
- Ada, MN
- NPI 1043309651
-
dba Thrifty White Pharmacy #740
- Community/Retail Pharmacy
- Red Lake Falls, MN
- NPI 1053401984
-
dba Thrifty White Drug #750
- Community/Retail Pharmacy
- Fertile, MN
- NPI 1053401992
-
dba Thrifty White Pharmacy #780
- Community/Retail Pharmacy
- Warroad, MN
- NPI 1073895041
-
dba Thrifty Nystrom Drug #738
- Community/Retail Pharmacy
- Brainerd, MN
- NPI 1134218738
-
dba Thrifty White Drug #758
- Community/Retail Pharmacy
- Springfield, MN
- NPI 1134218746
-
dba Thrifty White Drug #755
- Community/Retail Pharmacy
- Madison, MN
- NPI 1225127830
-
dba Thrifty White Drug #728
- Community/Retail Pharmacy
- Grand Rapids, MN
- NPI 1235228834
-
dba Thrifty White Pharmacy #787
- Community/Retail Pharmacy
- Annandale, MN
- NPI 1306394887
-
dba Thrifty White Drug #736
- Community/Retail Pharmacy
- Thief River Falls, MN
- NPI 1316036916
-
dba Thrifty White Pharmacy #742
- Community/Retail Pharmacy
- Morris, MN
- NPI 1316036924
-
dba Thrifty White Pharmacy #772
- Community/Retail Pharmacy
- Sandstone, MN
- NPI 1316194459
Locations (25 of 33)
319 W Main St
Ada, MN 56510
Phone (218) 784-2434
31 Main Ave N
Bagley, MN 56621
Phone (218) 508-0172
2000 Paul Bunyan Dr NW
Bemidji, MN 56601
Phone (218) 751-6380
225 Paul Bunyan Dr NW
Bemidji, MN 56601
Phone (218) 751-1073
209 Washington St
Brainerd, MN 56401
Phone (218) 829-3529
101 W 2nd St
Crookston, MN 56716
Phone (218) 281-3700
202 N Central Ave
Duluth, MN 55807
Phone (218) 624-2733
107 E Lincoln Ave
Fergus Falls, MN 56537
Phone (218) 736-5565
1420 Lake St S
Ste 100
Forest Lake, MN 55025
Phone (651) 464-5518
808 Lake St S
Forest Lake, MN 55025
Phone (651) 464-5518
1105 S Pokegama Ave
Grand Rapids, MN 55744
Phone (218) 326-9431
2026 S Pokegama Ave
Grand Rapids, MN 55744
Phone (218) 326-9431
760 Prentice St
Granite Falls, MN 56241
Phone (320) 564-2339
1102 Vermillion St
Hastings, MN 55033
Phone (612) 437-3186
1101 E 37th St
Ste 4
Hibbing, MN 55746
Phone (218) 262-6138
1460 Montreal St SE
Hutchinson, MN 55350
Phone (320) 587-2509
1703 Madison Ave
Mankato, MN 56001
Phone (507) 345-7215
6901 E Fish Lake Rd
Ste 118A
Maple Grove, MN 55369
Phone (763) 463-4400
321 W Main St
Marshall, MN 56258
Phone (507) 532-5754
127 2nd Ave SW
Milaca, MN 56353
Phone (320) 982-3300
724 E Highway 7
Montevideo, MN 56265
Phone (320) 269-6412
4570 County Road 61
Moose Lake, MN 55767
Phone (218) 485-2020
3 E Highway 28
Morris, MN 56267
Phone (320) 589-4550
533 Atlantic Ave
Morris, MN 56267
Phone (320) 589-4550
417 Potter St
Red Wing, MN 55066
Phone (651) 388-2896
Ownership & related parties
All facility ownership & control disclosures 6
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| St Luke Lutheran Nursing Home | Skilled nursing facility | Adp of the SNF | Jan 1, 2025 |
| Good Samaritan Society - Maplewood | Skilled nursing facility | Adp of the SNF | Aug 1, 2017 |
| Good Samaritan Society - Ambassador | Skilled nursing facility | Adp of the SNF | Aug 1, 2017 |
| Good Samaritan Society - Inver Grove Heights | Skilled nursing facility | Adp of the SNF | Aug 1, 2017 |
| Good Samaritan Society - Specialty Care Community | Skilled nursing facility | Adp of the SNF | Aug 1, 2017 |
| Good Samaritan Society - Comforcare | Skilled nursing facility | Adp of the SNF | Aug 1, 2017 |
Practitioners & affiliated clinicians
Practitioners 118
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.
-
- Pharmacist
- Wadena, MN
- NPI 1235623737
-
- Pharmacist
- Wadena, MN
- NPI 1073497665
-
- Pharmacist
- Duluth, MN
- NPI 1114369774
-
- Pharmacist
- Mankato, MN
- NPI 1568938041
-
- Pharmacist
- Marshall, MN
- NPI 1568812592
-
- Pharmacy Technician
- Mahnomen, MN
- NPI 1801486253
-
- Pharmacist
- Pierz, MN
- NPI 1073072005
-
- Pharmacist
- Hibbing, MN
- NPI 1063851426
-
- Pharmacist
- Rochester, MN
- NPI 1154983542
-
- Pharmacist
- Saint Paul, MN
- NPI 1073240792
-
- Registered Nurse
- Breckenridge, MN
- NPI 1912592908
-
- Pharmacist
- Ogema, MN
- NPI 1346932415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785456000000",
"number": "1710678545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 EVENSTAD DR N STE 100",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553696013",
"telephone_number": "763-513-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 11TH ST NW STE 100",
"city": "WADENA",
"state": "MN",
"postal_code": "564821044",
"telephone_number": "218-632-2600",
"fax_number": "218-631-8065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIFTY DRUG STORES INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-15",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A",
"authorized_official_last_name": "BRADER",
"authorized_official_first_name": "ANNE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "763-513-4300"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Thrifty White Pharmacy #795",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Thrifty White Pharmacy #795",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wadena, MN
- Corey H Tabbert, OD
- Christopher J Thanel, M.D.
- The Clinic LLC
- Karmella J Thompson, MS, LMFT, LADC
- Thrifty Drug Stores Inc (Thrifty White Pharmacy #778)
- Tri County Hospital (Tri-County Hospital Outpatient Pharmacy)
- Tri-County Community Health Services (Tri-County Hospital Ambulance)
- Tri-County Hospital
- Tri-County Hospital
- Tri-County Hospital Pharmacy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.